MEDICARE: APOLO HEALTH SERVICES POOL, 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	:	1922311323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOLO HEALTH SERVICES POOL, INC

Provider Business Mailing Address
First Line	:	2460 SW 137TH AVE
Second Line	:	SUITE 209
City	:	MIAMI
State	:	FL
Zip	:	33175-8803
Country	:	US
Telephone Number	:	786-556-6429
Fax Number	:	305-554-8080

Provider Business Practice Location Address
First Line	:	2460 SW 137TH AVE
Second Line	:	SUITE 209
City	:	MIAMI
State	:	FL
Zip	:	33175-8803
Country	:	US
Telephone Number	:	786-556-6429
Fax Number	:	305-554-8080

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JUAN VILLALONGA
Credential	:
Telephone Number	:	786-556-6429

Provider Enumeration Date	:	07/15/2010
Last Update Date	:	07/15/2010

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