Provider Demographics
NPI:1972558872
Name:GALLOWAY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:GALLOWAY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-273-4484
Mailing Address - Street 1:7374 SW 93RD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5201
Mailing Address - Country:US
Mailing Address - Phone:305-273-4484
Mailing Address - Fax:305-273-4443
Practice Address - Street 1:7374 SW 93RD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5201
Practice Address - Country:US
Practice Address - Phone:305-273-4484
Practice Address - Fax:305-273-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992393251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health