Organization
EXCELLENCE HOME SUPPORT. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA D HERNANDEZ PADIN NURSE REGISTRY (ADMINISTRATOR)
(786) 701-3225
Entity
Organization
Contact information
Practice address
12855 SW 136 AVE, SUITE 211, MIAMI, FL 33186
(786) 701-3225
(855) 474-0933
Mailing address
12855 SW 136 AVE, SUITE 211, MIAMI, FL 33186
(786) 701-3225
(855) 474-0933
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211880
NURSE REGISTRY
FL
Enumeration date
12/08/2016
Last updated
12/08/2016
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