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Organization

HIALEAH HOME ALF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA KIRBY (ADMINISTRATOR)
(305) 804-6750
Entity
Organization

Contact information

Practice address
8230 W 16TH AVE, HIALEAH, FL 33014-3357
(305) 804-6750
(305) 228-5802
Mailing address
8230 W 16TH AVE, HIALEAH, FL 33014-3357
(305) 804-6750
(305) 228-5802

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9498
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001614100
FL
Enumeration date
05/11/2012
Last updated
05/11/2012
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