Organization
TOIRAK'S GROUP HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS CRUZ (VICE PRESIDENT/ADMINISTRATOR)
(305) 323-1986
Entity
Organization
Contact information
Practice address
451 NW 139TH ST, NORTH MIAMI, FL 33168-4021
(305) 323-1986
(305) 687-8649
Mailing address
451 NW 139TH ST, NORTH MIAMI, FL 33168-4021
(305) 323-1986
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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