- Enrollment id
- O20101214000267
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427295641
- Multiple npi flag
- N
- Ccn
- 109715
- Associate id
- 5799972923
- Organization name
- ALL SERVICES HOME HEALTH AGENCY INC
- Incorporation date
- 2008-07-16
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3625 NW 82ND AVE
- Address line 2
- SUITE 205
- City
- MIAMI
- State
- FL
- Zip code
- 331667601