Organization
KENDALL HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO E ALFONSO (OWNER)
(786) 333-3749
Entity
Organization
Contact information
Practice address
16300 SW 137TH AVE UNIT 123, MIAMI, FL 33177-1959
(305) 254-1772
(305) 254-1703
Mailing address
2500 SW 107 AVE SUITE #50, MIAMI, FL 33165
(305) 222-9221
(305) 222-9891
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992948
APPLICATION
FL
Enumeration date
11/07/2007
Last updated
12/11/2012
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