Provider Demographics
NPI:1538545934
Name:ALLY CARE SERVICES INC.
Entity type:Organization
Organization Name:ALLY CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARACUENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-910-6246
Mailing Address - Street 1:21548 SW 89TH PATH
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-7353
Mailing Address - Country:US
Mailing Address - Phone:786-732-6193
Mailing Address - Fax:786-732-6190
Practice Address - Street 1:21548 SW 89TH PATH
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-7353
Practice Address - Country:US
Practice Address - Phone:786-732-6193
Practice Address - Fax:786-732-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL008709700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health