Provider Demographics
NPI:1750573259
Name:MDT HOME HEALTH CARE AGENCY, INC.
Entity type:Organization
Organization Name:MDT HOME HEALTH CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MADELEIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL TORO
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:305-644-2100
Mailing Address - Street 1:8672 SW 40TH ST
Mailing Address - Street 2:SUITE# 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3265
Mailing Address - Country:US
Mailing Address - Phone:305-644-2100
Mailing Address - Fax:305-644-2910
Practice Address - Street 1:8672 SW 40TH ST
Practice Address - Street 2:SUITE# 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3265
Practice Address - Country:US
Practice Address - Phone:305-644-2100
Practice Address - Fax:305-644-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992744251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health