Organization
MC QUALITY SUPPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE CARRION CRUZ (C.E.O)
(786) 398-0187
Entity
Organization
Contact information
Practice address
13550 SW 88TH ST STE 270A, MIAMI, FL 33186-1513
(786) 398-0187
Mailing address
13550 SW 88TH ST STE 270A, MIAMI, FL 33186-1513
(786) 398-0187
(305) 456-7064
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019349400
—
FL
01
—
021946900
HOME AND COMMUNITY BASED SERVICES WAIVER
FL
01
—
238703
HOMEMAKER AND COMPANION LICENSE
FL
01
—
30212396
NURSE REGISTRY LICENSE
FL
Enumeration date
04/29/2016
Last updated
03/29/2023
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