Provider Demographics
NPI:1346445012
Name:VERSAILLES HOME HEALTH MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:VERSAILLES HOME HEALTH MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-557-9949
Mailing Address - Street 1:1767 W 37TH ST
Mailing Address - Street 2:BAY 6
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4669
Mailing Address - Country:US
Mailing Address - Phone:305-557-9949
Mailing Address - Fax:
Practice Address - Street 1:1767 W 37TH ST
Practice Address - Street 2:BAY 6
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4669
Practice Address - Country:US
Practice Address - Phone:305-557-9949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13122661332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5376610001Medicare NSC