# FAMILIA GROUP HOME INC

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

## Provider details

- **NPI number:** 1700402880
- **Authorized official:** OCTAVIUS SMITH (OWNER)
- **Authorized official phone:** (954) 549-3569

## Contact information

- **Practice address:** 17883 SW 155TH CT, MIAMI, FL 33187-1712
- **Practice address phone:** (954) 549-3569
- **Mailing address:** 17883 SW 155TH CT, MIAMI, FL 33187-1712
- **Mailing address phone:** (954) 549-3569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2020
- **Last updated:** 06/24/2020