Organization
ICON HOME HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNELIZ PORTAL RN (OWNER/ D.O.N)
(305) 396-6969
Entity
Organization
Contact information
Practice address
13404 SW 128TH ST, MIAMI, FL 33186-5800
(305) 396-6969
(305) 675-0844
Mailing address
13404 SW 128TH ST, MIAMI, FL 33186-5800
(305) 396-6969
(305) 675-0844
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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