Healthcare Provider Details

I. General information

NPI: 1073717336
Provider Name (Legal Business Name): ISIS AID AGENCY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 04/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7172 NW 19TH AVE
MIAMI FL
33147-6315
US

IV. Provider business mailing address

7172 NW 19TH AVE
MIAMI FL
33147-6315
US

V. Phone/Fax

Practice location:
  • Phone: 786-413-8762
  • Fax: 305-503-9557
Mailing address:
  • Phone: 786-413-8762
  • Fax: 305-503-9557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ISIS H ABREU
Title or Position: PRESIDENT
Credential: CNA
Phone: 786-413-8762