- Enrollment id
- O20070705000116
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992809263
- Multiple npi flag
- N
- Ccn
- 109145
- Associate id
- 5991805905
- Organization name
- ALDESI OF FLORIDA, INC.
- Organization type structure
- OTHER
- Organization other type text
- S CORP
- Proprietary nonprofit
- P
- Address line 1
- 306 ALCAZAR AVE
- Address line 2
- STE 203
- City
- CORAL GABLES
- State
- FL
- Zip code
- 331344318