Organization
MARIA AUXILIADORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUXILIADORA OJEDA (OWNER)
(786) 348-6058
Entity
Organization
Contact information
Practice address
31 SW 113TH AVE APT 105, MIAMI, FL 33174-1188
(786) 348-6058
Mailing address
31 SW 113TH AVE APT 105, MIAMI, FL 33174-1188
(786) 348-6058
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CNA166035
FL
385H00000X
Respite Care
CNA166035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002183300
—
FL
Enumeration date
05/13/2011
Last updated
05/13/2011
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