Provider Demographics
NPI:1558841825
Name:MJ EXQUISITE HOME CARE, INC
Entity Type:Organization
Organization Name:MJ EXQUISITE HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE-MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-502-1011
Mailing Address - Street 1:300 N BISCAYNE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6628
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 N BISCAYNE RIVER DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6628
Practice Address - Country:US
Practice Address - Phone:786-502-1011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty