Organization
HETERY HOME FOR THE ELDERLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO BERRERAS (PRESIDENT)
(786) 413-7016
Entity
Organization
Contact information
Practice address
825 SE 7TH AVENUE, HIALEAH, FL 33010-5602
(786) 558-8569
(305) 225-1289
Mailing address
825 SE 7TH AVENUE, HIALEAH, FL 33010-5602
(786) 413-7016
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140404100
—
FL
05
—
674225400
—
FL
Enumeration date
05/19/2007
Last updated
01/20/2022
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