Organization
EXCEPTIONAL TREATMENT HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE C IBARRA (PRESIDENT)
(786) 201-7390
Entity
Organization
Contact information
Practice address
1414 NW 107 AVE, SUITE 409, MIAMI, FL 33172-2732
(305) 717-3130
(305) 717-3130
Mailing address
1414 NW 107 AVE, SUITE 409, MIAMI, FL 33172-2732
(305) 717-3130
(305) 717-3130
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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