Organization
AMBAR HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARITZA HERNANDEZ (OWNER)
(305) 690-4243
Entity
Organization
Contact information
Practice address
633 NE 167TH ST STE 614, NORTH MIAMI BEACH, FL 33162-2444
(305) 690-4243
(305) 690-5883
Mailing address
633 NE 167TH ST STE 614, NORTH MIAMI BEACH, FL 33162-2444
(305) 690-4243
(305) 690-5883
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275362
WELLCARE PROVIDER #
FL
05
—
651049300
—
FL
Enumeration date
08/23/2006
Last updated
10/12/2017
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