Organization
EL MERCY FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA ISABEL LOPEZ (PRESIDENT/CEO)
(305) 342-6962
Entity
Organization
Contact information
Practice address
5951 NW 151TH STREET, SUITE #108, MIAMI LAKES, FL 33014
(305) 364-1251
(305) 364-1956
Mailing address
5951 NW 151TH STREET, SUITE #108, MIAMI LAKES, FL 33014
(305) 364-1251
(305) 364-1956
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992713
AHCA LICENSE
FL
05
—
651580100
—
FL
Enumeration date
04/03/2007
Last updated
07/08/2010
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