Organization
IDA'S HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDANIA HERNANDEZ (OWNER/ADMIN)
(786) 370-3479
Entity
Organization
Contact information
Practice address
12853 SW 147TH ST, MIAMI, FL 33186-6390
(786) 250-4917
(786) 250-4917
Mailing address
12853 SW 147TH ST, MIAMI, FL 33186-6390
(786) 250-4917
(786) 250-4917
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/23/2019
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