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Organization

HOMESTEAD RESEARCH MENTAL HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WALEEM ENRIQUE HERNANDEZ (OWNER/PRESIDENT)
(305) 257-8065
Entity
Organization

Contact information

Practice address
317 N KROME AVE, HOMESTEAD, FL 33030-6057
(305) 257-8065
(305) 508-6502
Mailing address
317 N KROME AVE, HOMESTEAD, FL 33030-6057
(305) 257-8065
(305) 508-6502

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PENDING

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0022753300
FL
Enumeration date
10/21/2017
Last updated
03/09/2021
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