Organization
THIS IS YOUR HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A AREVALO (PRESIDENT)
(352) 257-3079
Entity
Organization
Contact information
Practice address
2581 W APRICOT DR, BEVERLY HILLS, FL 34465-3054
(352) 257-3079
(352) 527-8222
Mailing address
PO BOX 640819, BEVERLY HILLS, FL 34464-3054
(352) 257-3079
(352) 527-8222
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
003061800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003061800
—
FL
Enumeration date
04/05/2011
Last updated
04/05/2011
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