Organization
305 SWEET HOME ALF LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARELYS HERNANDEZ (PRESIDENT)
(786) 567-1322
Entity
Organization
Contact information
Practice address
3910 NW 165TH ST, MIAMI GARDENS, FL 33054-6223
(786) 567-1322
Mailing address
3910 NW 165TH ST, MIAMI GARDENS, FL 33054-6223
(786) 567-1322
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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