Organization
MARTHA RIVERA
Active
Other names
Miami Home and Community Support Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA RIVERA (PRESIDENT)
(786) 543-7677
Entity
Organization
Contact information
Practice address
6257 SW 150TH PATH, MIAMI, FL 33193-2742
(786) 543-7677
(305) 482-6359
Mailing address
6257 SW 150TH PATH, MIAMI, FL 33193-2742
(786) 543-7677
(305) 482-6359
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
229690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229690
AHCA
—
05
—
689423296
—
FL
05
—
689423298
—
FL
Enumeration date
08/24/2015
Last updated
08/24/2015
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