Organization
FAMILY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIVIA JIMENEZ (OWNER)
(786) 665-9174
Entity
Organization
Contact information
Practice address
11010 SW 38TH ST, MIAMI, FL 33165
(305) 603-9603
(786) 409-2052
Mailing address
11010 SW 38TH ST, MIAMI, FL 33165
(305) 603-9603
(786) 409-2052
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/25/2020
Last updated
06/25/2026
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