Organization
HAZAH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET NANETTE MOORE MS (CEO)
(786) 267-5997
Entity
Organization
Contact information
Practice address
1240 SE 28TH CT UNIT 202, HOMESTEAD, FL 33035-2332
(786) 267-5997
Mailing address
1240 SE 28TH CT UNIT 202, HOMESTEAD, FL 33035-2332
(786) 267-5997
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
FL
251300000X
Local Education Agency (LEA)
—
FL
251B00000X
Case Management Agency
—
FL
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
253Z00000X
In Home Supportive Care Agency
—
FL
310400000X
Assisted Living Facility
—
FL
332U00000X
Home Delivered Meals
—
FL
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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