NPI 1902243207
Senior Home Maker Companion
Practice location
- Address
- 13440 SW 36 St, Miami, FL 33175
- Phone
- (786) 502-7397
- Fax
- (305) 559-6572
- Mailing address
- 557 E Elcam Circle Suite C, Marco Island, FL 34145
Authorised official
- Name
- Marcia Gongora
- Title
- Owner/President
- Phone
- (786) 502-7397
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1902243207
- Entity type
- Organization
- NPI issued
- 28 May 2013
- Record last updated
- 28 May 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.