Organization
MD HOME CARE, INC.
Active
Other names
MD HOME CARE # 2
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELEIN CANCELA DIAZ (PRESIDENT)
(786) 213-4662
Entity
Organization
Contact information
Practice address
13711 SW 105TH ST, MIAMI, FL 33186-3118
(786) 213-4662
Mailing address
13711 SW 105TH ST, MIAMI, FL 33186-3118
(786) 213-4662
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016254-00
—
FL
Enumeration date
09/21/2010
Last updated
09/21/2010
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