Organization
ILDEXYS HOME HEALTH CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERIBERTA ALADRO DE PUPO (OWNER)
(305) 926-9421
Entity
Organization
Contact information
Practice address
3340 NW 80TH TER, MIAMI, FL 33147-4623
(786) 631-5934
(786) 615-2749
Mailing address
3340 NW 80TH TER, MIAMI, FL 33147-4623
(786) 631-5934
(786) 615-2749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL13229
—
FL
Enumeration date
10/25/2018
Last updated
02/15/2021
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