Provider Demographics
NPI:1598213555
Name:WISE CARE CORP
Entity Type:Organization
Organization Name:WISE CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTEAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-5107
Mailing Address - Street 1:6710 MAIN ST STE 234
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2067
Mailing Address - Country:US
Mailing Address - Phone:786-360-5107
Mailing Address - Fax:786-558-9119
Practice Address - Street 1:6710 MAIN ST STE 234
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2067
Practice Address - Country:US
Practice Address - Phone:786-360-5107
Practice Address - Fax:786-558-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10663OtherAHCA