Provider Demographics
NPI:1578723417
Name:JOZ-BRICK HOME HEALTH CORP
Entity Type:Organization
Organization Name:JOZ-BRICK HOME HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREDERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-942-2799
Mailing Address - Street 1:12906 SW 133RD CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6582
Mailing Address - Country:US
Mailing Address - Phone:786-293-8560
Mailing Address - Fax:786-293-8560
Practice Address - Street 1:12906 SW 133RD CT
Practice Address - Street 2:SUITE A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6582
Practice Address - Country:US
Practice Address - Phone:786-293-8560
Practice Address - Fax:786-293-8560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health