Provider Demographics
NPI:1487202461
Name:QUALITY HOME CARE OF SOUTH FLORIDA LLC
Entity type:Organization
Organization Name:QUALITY HOME CARE OF SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-877-4348
Mailing Address - Street 1:10420 SW 77TH AVE STE 101A
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3771
Mailing Address - Country:US
Mailing Address - Phone:305-877-4348
Mailing Address - Fax:813-336-4171
Practice Address - Street 1:10420 SW 77TH AVE STE 101A
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-3771
Practice Address - Country:US
Practice Address - Phone:305-877-4348
Practice Address - Fax:813-336-4171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health