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General NPI Number Information
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NPI Number | 1508008756
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Entity Type | Organization
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Legal Business Name | BROTHERS HOME HEALTH CARE INC
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 3900 NW 79TH AVE SUITE 569
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City | DORAL
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State | FL
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Zip | 33166-6556
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Country | US
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Telephone | 305-406-9445
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Fax | 305-406-9446
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Provider Business Mailing Address
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Address Line | 12905 SW 42ND ST SUITE 209
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City | MIAMI
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State | FL
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Zip | 33175-2905
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Country | US
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Telephone | 305-406-9445
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Fax | 305-406-9446
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Authorized Official
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Title or Position | PRESIDENT
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Name | VILMA H ROMERO DIAZ
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Credential |
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Telephone | 305-406-9445
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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 | 299993530
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License Number State | FL
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