Organization
DE LA NUEZ HOME CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERLLEN MARTINEZ (CEO)
(305) 457-6226
Entity
Organization
Contact information
Practice address
10211 SW 13TH ST, MIAMI, FL 33174-2713
(305) 457-6226
Mailing address
10211 SW 13TH ST, MIAMI, FL 33174-2713
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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