Organization
FAMILIA GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIUS SMITH (OWNER)
(954) 549-3569
Entity
Organization
Contact information
Practice address
17883 SW 155TH CT, MIAMI, FL 33187-1712
(954) 549-3569
Mailing address
17883 SW 155TH CT, MIAMI, FL 33187-1712
(954) 549-3569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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