Healthcare Provider Details

I. General information

NPI: 1740366335
Provider Name (Legal Business Name): EASY HOME CARE SVCES. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3774 W 12TH AVE
HIALEAH FL
33012-4126
US

IV. Provider business mailing address

3774 W 12TH AVE
HIALEAH FL
33012-4126
US

V. Phone/Fax

Practice location:
  • Phone: 305-722-1084
  • Fax: 305-722-1086
Mailing address:
  • Phone: 305-722-1084
  • Fax: 305-722-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS FELICIA MARGARITA VILLALOBOS
Title or Position: OWNER
Credential:
Phone: 305-722-1084