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NPI Code Detail

MEDICARE: LA MANO AMIGA CORP.

MEDICARE: LA MANO AMIGA CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130212460OTHERFLAHCA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285382598
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA MANO AMIGA CORP.
Provider Business Mailing Address
First Line : 6408 N ARMENIA AVE STE B-2A
Second Line :
City : TAMPA
State : FL
Zip : 33604-5770
Country : US
Telephone Number : 813-915-1018
Fax Number : 813-915-1885
Provider Business Practice Location Address
First Line : 6408 N ARMENIA AVE STE B-2A
Second Line :
City : TAMPA
State : FL
Zip : 33604-5770
Country : US
Telephone Number : 813-915-1018
Fax Number : 813-915-1885
Authorized Official
Title or Position : ADMINISTRATOR, OWNER
Name : JOSE RAFAEL CASALLAS
Credential :
Telephone Number : 813-915-1018
Provider Enumeration Date : 03/15/2022
Last Update Date : 04/17/2026

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Directions to “LA MANO AMIGA CORP. ” Practice Location

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