Organization
SUAREZ GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN SUAREZ (PRESIDENT)
(305) 345-7974
Entity
Organization
Contact information
Practice address
17131 NW 57TH AVE, MIAMI GARDENS, FL 33055-3923
(305) 620-4527
(305) 627-1975
Mailing address
17131 NW 57TH AVE, MIAMI GARDENS, FL 33055-3923
(305) 620-4527
(305) 627-1975
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680712796
—
FL
05
—
687342196
—
FL
Enumeration date
02/08/2019
Last updated
01/24/2022
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