Organization
HEAVENLY HOME CARE ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA CRUZ (ADMINISTRATOR)
(786) 417-2313
Entity
Organization
Contact information
Practice address
34 W 14TH ST, HIALEAH, FL 33010-3419
(305) 888-6356
Mailing address
34 W 14TH ST, HIALEAH, FL 33010-3419
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142146800
—
FL
Enumeration date
11/13/2007
Last updated
11/13/2007
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