# LUNA GROUP HOME INC.

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

## Provider details

- **NPI number:** 1770463671
- **Authorized official:** ODALIS GARCIA (OWNER)
- **Authorized official phone:** (645) 222-1574

## Contact information

- **Practice address:** 13888 SW 18TH TER, MIAMI, FL 33175-7519
- **Practice address phone:** (645) 222-1574
- **Mailing address:** 13888 SW 18TH TER, MIAMI, FL 33175-7519
- **Mailing address phone:** (645) 222-1574

## Taxonomy

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

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/03/2025