Organization
ELOHIM BARA / RAPHA HOME & HOSPITAL FOR THE AGED CORP
Active
Other names
EBR HOME & HOSPITAL FOR THE AGED CORP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DJENANE JEAN (PRESIDENT)
(786) 390-6582
Entity
Organization
Contact information
Practice address
1175 NW 132ND ST, NORTH MIAMI, FL 33168-6625
(786) 201-0137
Mailing address
1175 NW 132ND ST, NORTH MIAMI, FL 33168-6625
(786) 201-0137
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
P222996
FL
275N00000X
Medicare Defined Swing Bed Hospital Unit
P222996
FL
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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