Organization
BLANCO HOME HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY PICHARDO (PRESDENT)
(305) 649-9299
Entity
Organization
Contact information
Practice address
604 NW 25TH AVE, MIAMI, FL 33125-4444
(305) 649-9299
Mailing address
604 NW 25TH AVE, MIAMI, FL 33125-4444
(305) 649-9299
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142652400
—
FL
05
—
690841100
—
FL
Enumeration date
06/04/2007
Last updated
01/28/2012
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