Organization
ADVANCE HOME HEALTH, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA DEMIEN (PRESIDENT)
(305) 820-9840
Entity
Organization
Contact information
Practice address
5951 NW 151ST ST, SUITE 111, MIAMI LAKES, FL 33014-2439
(305) 820-9840
(305) 820-9841
Mailing address
5951 NW 151ST ST, SUITE 111, MIAMI LAKES, FL 33014-2439
(305) 820-9840
(305) 820-9841
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-9048
MEDICARE. CCN
FL
05
—
651553300
—
FL
Enumeration date
03/29/2007
Last updated
11/17/2008
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