Provider Demographics
NPI:1023251006
Name:HOME HEALTH CARE OF SOUTH FL. INC
Entity type:Organization
Organization Name:HOME HEALTH CARE OF SOUTH FL. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTAFA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-362-6779
Mailing Address - Street 1:12905 SW 42ND ST
Mailing Address - Street 2:SUITE 217
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2905
Mailing Address - Country:US
Mailing Address - Phone:786-362-6779
Mailing Address - Fax:786-362-6780
Practice Address - Street 1:12905 SW 42ND STREET
Practice Address - Street 2:SUITE 217
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:786-362-6779
Practice Address - Fax:786-362-6780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health