# HIS HOUSE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** His House Children's Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912102005
- **Authorized official:** MRS. JEAN CACERES-GONZALEZ (EXECUTIVE DIRECTOR AND PRESIDENT)
- **Authorized official phone:** (305) 430-0085

## Contact information

- **Practice address:** 20000 NW 47TH AVE, HECTOR BUILDING NO. 2, OPA LOCKA, FL 33055-1543
- **Practice address phone:** (305) 430-0085
- **Practice address fax:** (305) 430-8533
- **Mailing address:** 20000 NW 47TH AVE, HECTOR BUILDING NO. 2, OPA LOCKA, FL 33055-1543
- **Mailing address phone:** (305) 430-0085
- **Mailing address fax:** (305) 430-8533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | FL | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 08/07/2007