Organization
EBENEZER FAMILY HOME 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICH CAPESTANY (ADMINISTRATOR)
(786) 376-6767
Entity
Organization
Contact information
Practice address
1024 SW 11TH ST, MIAMI, FL 33129-1817
(305) 857-9425
Mailing address
1024 SW 11TH ST, MIAMI, FL 33129-1817
(305) 857-9425
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12048
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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