Organization
TWO SISTERSHOMECARE # III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE VALDES (PRESIDENT)
(786) 897-0734
Entity
Organization
Contact information
Practice address
9143 NW 117TH ST, HIALEAH, FL 33018-4147
(786) 897-0734
(305) 816-0202
Mailing address
9143 NW 117TH ST, HIALEAH, FL 33018-4147
(786) 897-0734
(305) 816-0202
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AL10940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427776
—
FL
01
—
AL10940
ALF LICENSE
FL
Enumeration date
02/12/2014
Last updated
02/12/2014
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