Provider Demographics
NPI:1215179916
Name:M & K HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:M & K HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:XIOMARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:COSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-225-7640
Mailing Address - Street 1:2646 SW 87 AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2031
Mailing Address - Country:US
Mailing Address - Phone:305-225-7640
Mailing Address - Fax:305-225-7645
Practice Address - Street 1:2646 SW 87 AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2031
Practice Address - Country:US
Practice Address - Phone:305-225-7640
Practice Address - Fax:305-225-7645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health