- Enrollment id
- O20071226000194
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1356454482
- Multiple npi flag
- N
- Ccn
- 107088
- Associate id
- 4587669049
- Organization name
- HOME HEALTH SERVICES OF SOUTH FLORIDA, INC.
- Incorporation date
- 1988-11-14
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 780 NW 42ND AVE
- Address line 2
- STE 305
- City
- MIAMI
- State
- FL
- Zip code
- 331265536