Organization
THE WAKI AND SOL OF MIAMI CORP
Active
Organization
THE WAKI AND SOL OF MIAMI CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY OUSTABASSIDIS (DIRECTOR)
(954) 864-3996
Entity
Organization
Contact information
Practice address
1031 IVES DAIRY RD STE 228, MIAMI, FL 33179-2538
(786) 420-5002
Mailing address
1031 IVES DAIRY RD STE 228, MIAMI, FL 33179-2538
(786) 712-4589
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
227342
FL
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105651200
—
FL
05
—
106470400
—
FL
05
—
1245573773
—
FL
Enumeration date
04/03/2013
Last updated
11/18/2022
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