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NPI Code Detail

MEDICARE: MY HOME ELDER CARE

MEDICARE: MY HOME ELDER 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
1261QA0600XAdult Day Care Clinic/Center9133FL

General Provider Information

NPI Number : 1548576770
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY HOME ELDER CARE
Provider Business Mailing Address
First Line : 5856 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33144-3363
Country : US
Telephone Number : 305-264-4412
Fax Number : 305-264-4408
Provider Business Practice Location Address
First Line : 5856 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33144-3363
Country : US
Telephone Number : 305-264-4412
Fax Number : 305-264-4408
Authorized Official
Title or Position : PRESIDENT
Name : MRS. MARIA ISABEL CARO
Credential :
Telephone Number : 305-264-4412
Provider Enumeration Date : 08/25/2010
Last Update Date : 08/25/2010

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Directions to “MY HOME ELDER CARE ” Practice Location

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