Organization
XTREME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSIMIL DE LA NOVAL (OWNER)
(786) 663-6714
Entity
Organization
Contact information
Practice address
18191 NW 68TH AVE STE 215, HIALEAH, FL 33015-3998
(305) 364-5214
(786) 332-2359
Mailing address
18191 NW 68TH AVE STE 215, HIALEAH, FL 33015-3998
(305) 364-5214
(786) 332-2359
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30212212
AHCA
FL
Enumeration date
05/12/2021
Last updated
07/16/2024
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