Organization
CORAL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA DE JESUS AVELLANEDA C.N.A. (ADMINISTRATOR)
(305) 644-1819
Entity
Organization
Contact information
Practice address
3785 NW 82 AVE., SUITE 217, DORAL, FL 33166-6655
(305) 644-1819
(305) 644-9691
Mailing address
3785 NW 82 AVE., SUITE 217, DORAL, FL 33166-6655
(305) 644-1819
(305) 644-9691
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22073096
FL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650821900
—
FL
05
—
684881800
—
FL
Enumeration date
07/20/2006
Last updated
06/30/2016
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