Organization
MD HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELEIN CANCELA DIAZ (PRESIDENT)
(786) 213-4662
Entity
Organization
Contact information
Practice address
4857 NW 168TH TER, MIAMI GARDENS, FL 33055-4272
(305) 430-0775
Mailing address
4857 NW 168TH TER, MIAMI GARDENS, FL 33055-4272
(305) 430-0775
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10585
FL
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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