Organization
EBENEZER FAMILY HOME III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH CAPESTANY (OWNER/ADMIN.)
(786) 376-6767
Entity
Organization
Contact information
Practice address
18309 SW 114TH CT, MIAMI, FL 33157-4989
(305) 256-9902
(305) 351-8782
Mailing address
18309 SW 114TH CT, MIAMI, FL 33157-4989
(305) 256-9902
(305) 351-8782
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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