Organization · NPI-2

Aba Homecare Providers, INC

Home Health · Doral, FL

NPI number1770724205
StatusActive
Last updated in NPPESJan 25, 2010

Details

NPI
1770724205
Entity type
Organization (NPI-2)
Legal business name
Aba Homecare Providers, INC
Organization subpart
No
Enumeration date
Mar 12, 2009
Last updated
Jan 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–FLYes

Practice location

3900 Nw 79th Ave
Suite 446
Doral, FL 33166-6556

Phone 305-594-2171 · Fax 305-594-2172

Mailing address

3900 Nw 79th Ave
Suite 446
Doral, FL 33166-6556

Phone 305-594-2171 · Fax 305-594-2172

Authorized official

Wirlen Alexander Antigua
Director Of Nursing/Owner
3057103653

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