Organization
KEVIN FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILEYDIS ESPINO (OWNER)
(786) 257-9545
Entity
Organization
Contact information
Practice address
7020 SW 107 AVE, MIAMI, FL 33173
(305) 598-9610
(786) 485-3030
Mailing address
7020 SW 107 AVE, MIAMI, FL 33173
(305) 598-9610
(786) 485-3030
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9874
AHCA
FL
Enumeration date
09/10/2021
Last updated
10/16/2024
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