- Enrollment id
- O20070920000326
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871797522
- Multiple npi flag
- N
- Ccn
- 109082
- Associate id
- 3476647587
- Organization name
- CLT HOME CARE, INC.
- Incorporation date
- 2006-07-05
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1281 NW 6 STREET
- Address line 2
- SUITE D1
- City
- MIAMI
- State
- FL
- Zip code
- 331254719