Organization
ABUELO'S HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRA HERNANDEZ (CEO)
(813) 270-6040
Entity
Organization
Contact information
Practice address
1248 E HILLSBOROUGH AVE, 226, TAMPA, FL 33604-7201
(813) 443-8353
(813) 443-8364
Mailing address
1248 E HILLSBOROUGH AVE, 226, TAMPA, FL 33604-7201
(813) 443-8353
(813) 443-8364
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014219500
—
FL
01
—
683152
MEDICARE
FL
Enumeration date
05/02/2013
Last updated
12/16/2015
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