Organization
COMPANION HOME CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM C COMPANIONI I CNA (PRESIDENT)
(305) 854-2631
Entity
Organization
Contact information
Practice address
1997 SW 17TH CT, MIAMI, FL 33145-2707
(305) 854-2631
(305) 860-7723
Mailing address
1997 SW 17TH CT, MIAMI, FL 33145-2707
(305) 854-2631
(305) 860-7723
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL7893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676160700
—
FL
Enumeration date
06/26/2007
Last updated
09/26/2008
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