Organization
EXCLUSIVE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO GONZALEZ (ADMINISTRATOR)
(305) 225-1900
Entity
Organization
Contact information
Practice address
9766 SW 24TH ST STE 20, MIAMI, FL 33165-7567
(305) 225-1900
Mailing address
9766 SW 24TH ST STE 20, MIAMI, FL 33165-7567
(305) 225-1900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20335095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650402700
—
FL
Enumeration date
02/27/2015
Last updated
02/27/2015
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