Organization
MI HOGAR ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE RUTH HELAGO (ACTING ADMINISTRATOR)
(786) 339-1094
Entity
Organization
Contact information
Practice address
133 EAST 12TH STREET, HIALEAH, FL 33010
(305) 888-5037
Mailing address
133 E 12TH ST, HIALEAH, FL 33010-3531
(305) 888-5037
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7895
FL
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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