Provider Demographics
NPI:1912154147
Name:DOCTOR'S CHOICE HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:DOCTOR'S CHOICE HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANA MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-828-0026
Mailing Address - Street 1:1745 W 37TH ST
Mailing Address - Street 2:UNIT 17
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4677
Mailing Address - Country:US
Mailing Address - Phone:305-828-0026
Mailing Address - Fax:305-828-0028
Practice Address - Street 1:1745 WEST 37 ST
Practice Address - Street 2:UNIT 17
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3148
Practice Address - Country:US
Practice Address - Phone:305-828-0026
Practice Address - Fax:305-828-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992527251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health