Organization
NELLY HOME CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLGA LIBIA PEREZ (ADMINISTRATOR)
(305) 228-7273
Entity
Organization
Contact information
Practice address
8701 SW 20TH TER, MIAMI, FL 33165-8207
(305) 228-7273
(786) 339-8908
Mailing address
8701 SW 20TH TER, MIAMI, FL 33165-8207
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10791
FL
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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