Provider Demographics
NPI:1457308561
Name:MERLYS HOME HEALTH CARE AGENCY INC
Entity Type:Organization
Organization Name:MERLYS HOME HEALTH CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-275-9955
Mailing Address - Street 1:11755 SW 90 ST
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186
Mailing Address - Country:US
Mailing Address - Phone:786-275-9955
Mailing Address - Fax:305-598-5208
Practice Address - Street 1:11755 SW 90TH ST
Practice Address - Street 2:SUITE # 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2177
Practice Address - Country:US
Practice Address - Phone:786-275-9955
Practice Address - Fax:305-598-5208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA299992167OtherHOME HEALTH AGENCY
FLHHA299992167OtherHOME HEALTH AGENCY