Organization
GAT HOME SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA ESPINAR M.S. (ADMINISTRATOR)
(305) 778-3283
Entity
Organization
Contact information
Practice address
11737 SW 93RD TER, MIAMI, FL 33186-2168
(305) 778-3283
(305) 270-9004
Mailing address
11737 SW 93RD TER, MIAMI, FL 33186-2168
(305) 778-3283
(305) 270-9004
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
231227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001103500
DEVELOPMENTAL DISABILITY/FAMILY SUPPORTED LIVING
—
05
—
001103500
—
FL
01
—
002020800
HOME HEALTH AGENCY/PERSONAL CARE
—
Enumeration date
07/22/2010
Last updated
07/22/2010
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