MEDICARE: M&G HOME HEALTH CARE GROUP, INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1801030010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&G HOME HEALTH CARE GROUP, INC

Provider Business Mailing Address
First Line	:	5688 WEST FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134
Country	:	US
Telephone Number	:	305-332-6902
Fax Number	:	305-551-2370

Provider Business Practice Location Address
First Line	:	5688 WEST FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134
Country	:	US
Telephone Number	:	305-332-6902
Fax Number	:	305-551-2370

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GISELYS RODROGUEZ
Credential	:
Telephone Number	:	305-332-6902

Provider Enumeration Date	:	05/01/2009
Last Update Date	:	05/01/2009

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