Organization
ABA HOMECARE PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WIRLEN ALEXANDER ANTIGUA RN (DIRECTOR OF NURSING/OWNER)
(305) 710-3653
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 446, DORAL, FL 33166-6556
(305) 594-2171
(305) 594-2172
Mailing address
3900 NW 79TH AVE, SUITE 446, DORAL, FL 33166-6556
(305) 594-2171
(305) 594-2172
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
03/12/2009
Last updated
01/25/2010
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