Organization
IZQUIERDO HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMARILIS IZQUIERDO (ADMINISTRATOR)
(305) 263-1310
Entity
Organization
Contact information
Practice address
311 SW 62ND AVE, MIAMI, FL 33144-3230
(305) 263-1310
Mailing address
311 SW 62ND AVE, MIAMI, FL 33144-3230
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141921800
—
FL
Enumeration date
10/28/2008
Last updated
10/28/2008
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