Hetery Home For The Elderly

NPI 1477761666 - Assisted Living Facility - 310400000X

NPI Details
NPI 1477761666
Enumeration Date 05/19/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IVAN IVAN
Position ADMINISTRATOR
Phone (305) 889-1166
Fax (305) 225-1289
Practice Location
825 SE 7TH AVE
HIALEAH FL, 33010-5602, US
Phone (305) 889-1166
Fax (305) 225-1289
Business Location
825 SE 7TH AVE
HIALEAH FL, 33010-5602, US
Phone (305) 889-1166
Fax (305) 225-1289
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL7612
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According to our database, Hetery Home For The Elderly NPI is 1477761666, taxonomy code is 310400000X and license number is AL7612, license state is located at Florida. Hetery Home For The Elderly physically located at 825 Se 7th Ave, Hialeah FL, 33010-5602. NPI Number 1033115704 has the healthcare provider type.

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1477761666 NPI number is provided on an as is basis without warranty of any kind. 1477761666 is maintained by the National Plan & Provider Enumeration System. The contents of Hetery Home For The Elderly are for informational purposes only.