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General NPI Number Information
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NPI Number | 1871734160
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Entity Type | Organization
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Legal Business Name | MICHAEL HOME HEALTH PROVIDERS INC.
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 960 ARTHUR GODFREY RD SUITE 120
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3326
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Country | US
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Telephone | 305-531-4988
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Fax | 305-531-4990
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Provider Business Mailing Address
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Address Line | 960 ARTHUR GODFREY RD SUITE 120
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3326
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Country | US
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Telephone | 305-531-4988
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Fax | 305-531-4990
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JEANNETTE MEDEROS
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Credential | RN
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Telephone | 305-531-4988
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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 |
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License Number State | FL
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