- Enrollment id
- O20120325000002
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1447344569
- Multiple npi flag
- N
- Ccn
- 107691
- Associate id
- 3274501630
- Organization name
- QUALI-CARE HOME HEALTH AGENCY, INC.
- Incorporation date
- 1996-02-02
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7750 SW 117TH AVE
- Address line 2
- STE 307
- City
- MIAMI
- State
- FL
- Zip code
- 331833844