# LILY'S SWEET GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437802899
- **Authorized official:** LILIANNE FERNANDEZ (ADMINISTRATOR)
- **Authorized official phone:** (305) 345-2486

## Contact information

- **Practice address:** 4935 E 2ND AVE, HIALEAH, FL 33013-1409
- **Practice address phone:** (305) 345-2486
- **Mailing address:** 7839 NW 194TH ST, HIALEAH, FL 33015-6351
- **Mailing address phone:** (305) 345-2486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 01/26/2022