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Organization

ETERNITY HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESUS A. ACOSTA (PRESIDENT)
(305) 698-1914
Entity
Organization

Contact information

Practice address
3750 WEST 16TH AVENUE, SUITE 128U, HIALEAH, FL 33012
(305) 698-1914
(305) 698-1917
Mailing address
3750 WEST 16TH AVENUE, SUITE 128U, HIALEAH, FL 33012-4654
(305) 698-1914
(305) 698-1917

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
299993016
FL
251E00000X
Home Health Agency
Primary
26-03422087
FL
251E00000X
Home Health Agency
299993016
FL

Other

Enumeration date
05/21/2008
Last updated
10/13/2010
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