Organization
HEAVEN ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA MARIA PACHECO (ADMINISTRATOR)
(786) 263-1274
Entity
Organization
Contact information
Practice address
30136 SW 148TH PL, HOMESTEAD, FL 33033-3835
(305) 245-2290
Mailing address
30136 SW 148TH PL, HOMESTEAD, FL 33033-3835
(305) 245-2290
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11193
FL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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