Organization
DIBAR HOME CARE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORAIMA DIAZ (OWNER)
(786) 818-8691
Entity
Organization
Contact information
Practice address
10610 SW 199TH ST, CUTLER BAY, FL 33157-8515
(786) 818-8691
Mailing address
10610 SW 199TH ST BAY 199TH, CUTLER BAY, FL 33157-8515
(786) 818-8691
(305) 330-9080
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020999000
—
FL
Enumeration date
04/01/2021
Last updated
04/08/2021
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