Organization
I & S HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANDREU (DIRECTOR/CFO)
(305) 551-2901
Entity
Organization
Contact information
Practice address
11180 W FLAGLER ST, SUITE 15, MIAMI, FL 33174-1216
(305) 551-2901
(305) 551-2902
Mailing address
11180 W FLAGLER ST, SUITE 15, MIAMI, FL 33174-1216
(305) 551-2901
(305) 551-2902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251E00000X
Home Health Agency
Primary
299992653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109079
MEDICARE PTAN
FL
05
—
113729000
—
FL
Enumeration date
03/06/2007
Last updated
11/15/2024
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