Organization
IBIS HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO PEREZ (PRESIDENT)
(305) 557-0260
Entity
Organization
Contact information
Practice address
15088 SW 71ST LN, MIAMI, FL 33193-1911
(305) 557-0260
Mailing address
15088 SW 71ST LN, MIAMI, FL 33193-1911
(305) 557-0260
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142319300
—
FL
Enumeration date
09/09/2008
Last updated
09/09/2008
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