Organization
HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONEL EXTRAMIL (PRESIDENT)
(305) 805-4151
Entity
Organization
Contact information
Practice address
1075 E 14TH ST, HIALEAH, FL 33010-3311
(305) 805-4151
(305) 805-3050
Mailing address
1075 E 14TH ST, HIALEAH, FL 33010-3311
(305) 805-4151
(305) 805-3050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-8013423780-3
CERTIFICATE OF REGISTRATI
FL
01
—
LIC 1312818
AHCA LICENSE (HME)
FL
01
—
PERMIT 32 04407
OXYGEN LICENSE
FL
Enumeration date
11/13/2006
Last updated
06/02/2008
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