Organization
OUR LOVING MOTHER, ELDERLY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALLY CRUZ (OWNER)
(786) 520-1765
Entity
Organization
Contact information
Practice address
1635 W 65 ST, HIALEAH, FL 33012
(305) 557-8100
(305) 402-2845
Mailing address
1635 W 65 ST, HIALEAH, FL 33012
(305) 557-8100
(305) 402-2845
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140657400
—
FL
Enumeration date
12/26/2012
Last updated
01/27/2023
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