Organization
HISPANO AMERICAN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE VEGA (OWNER)
(407) 404-0077
Entity
Organization
Contact information
Practice address
1700 E IRLO BRONSON MEMORIAL HWY OFC 1714A, SAINT CLOUD, FL 34771-5806
(407) 583-4795
(407) 583-6412
Mailing address
1714 E IRLO BRONSON MEMORIAL HWY STE A, SAINT CLOUD, FL 34771-5836
(407) 583-4795
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
12/04/2019
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