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General NPI Number Information
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NPI Number | 1447344569
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Entity Type | Organization
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Legal Business Name | QUALI-CARE HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 9245 SW 158TH LN FL 2
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1804
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Country | US
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Telephone | 305-232-3979
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Fax | 786-558-1881
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Provider Business Mailing Address
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Address Line | 18001 OLD CUTLER ROAD SUITE 454
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City | PALMETTO BAY
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State | FL
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Zip | 33157
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Country | US
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Telephone | 305-232-3979
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Fax | 305-232-5017
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YISSELL SANG
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Credential |
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Telephone | 305-232-3979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299990971
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License Number State | FL
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