MEDICARE: RESILIENCE HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1033931431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENCE HOME CARE

Provider Business Mailing Address
First Line	:	601 SW 57TH AVE STE G
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 SW 57TH AVE STE G
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3969
Country	:	US
Telephone Number	:	305-345-5856
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOXIDELYZ PUENTE
Credential	:	OWNER
Telephone Number	:	786-580-9543

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

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Directions to “RESILIENCE HOME CARE ” Practice Location

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