Organization
MODELO HOME HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TULIO QUIRANTES (PRESIDENT)
(305) 888-3332
Entity
Organization
Contact information
Practice address
3601 W 11TH AVE, HIALEAH, FL 33012-4986
(305) 364-7611
Mailing address
3601 W 11TH AVE, HIALEAH, FL 33012-4986
(305) 364-7611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL98
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140596900
—
FL
05
—
677215300
—
FL
Enumeration date
01/23/2007
Last updated
04/23/2009
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