| Ag Home Care And Behavioral Services Llc | |
|
123 N Krome Ave Ste 203 Homestead FL 33030-6002 | |
| (786) 291-3979 | |
| Not Available |
| Full Name | Ag Home Care And Behavioral Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 N Krome Ave Ste 203, Homestead, Florida |
| Authorized Official Name and Position | Alina Alea Garcia (CEO) |
| Authorized Official Contact | 7862913979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ag Home Care And Behavioral Services Llc 9309 Sw 170th St Palmetto Bay FL 33157-4439 Ph: () - | Ag Home Care And Behavioral Services Llc 123 N Krome Ave Ste 203 Homestead FL 33030-6002 Ph: (786) 291-3979 |
| NPI Number | 1700346970 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 06/15/2024 |
| Certification Date | 06/15/2024 |
| Medicare PECOS PAC ID | 0446586812 |
|---|---|
| Medicare Enrollment ID | O20190723001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700346970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alina Alea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760656441 PECOS PAC ID: 2264768639 Enrollment ID: I20190723001560 |
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