Heaven Assisted Living Facility

NPI 1417135765 - Assisted Living Facility - 310400000X

NPI Details
NPI 1417135765
Enumeration Date 02/07/2008
Last Updated 02/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JUANA MARIA JUANA
Position ADMINISTRATOR
Phone (305) 245-2290
Fax
Practice Location
30136 SW 148TH PL
HOMESTEAD FL, 33033-3835, US
Phone (305) 245-2290
Fax
Business Location
30136 SW 148TH PL
HOMESTEAD FL, 33033-3835, US
Phone (305) 245-2290
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL11193
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According to our database, Heaven Assisted Living Facility NPI is 1417135765, taxonomy code is 310400000X and license number is AL11193, license state is located at Florida. Heaven Assisted Living Facility physically located at 30136 Sw 148th Pl, Homestead FL, 33033-3835. NPI Number 1033115704 has the healthcare provider type.

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1417135765 NPI number is provided on an as is basis without warranty of any kind. 1417135765 is maintained by the National Plan & Provider Enumeration System. The contents of Heaven Assisted Living Facility are for informational purposes only.