Organization
PERSONAL WELL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA CRUZ (CEO)
(305) 342-7643
Entity
Organization
Contact information
Practice address
8261 NW 64TH ST, MIAMI, FL 33166-2741
(305) 342-7643
Mailing address
8261 NW 64TH ST, MIAMI, FL 33166-2741
(305) 342-7643
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
01/26/2023
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