Organization
JC LOVING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAULIO GARCIA (OWNER)
(786) 237-4612
Entity
Organization
Contact information
Practice address
781 E 45TH ST, HIALEAH, FL 33013-1923
(786) 237-4612
(305) 223-2371
Mailing address
781 E 45TH ST, HIALEAH, FL 33013-1923
(786) 237-4612
(305) 223-2371
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001400
—
FL
Enumeration date
01/09/2009
Last updated
01/09/2009
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