Organization
HIS HOUSE, INC.
Active
Other names
His House Children's Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN CACERES-GONZALEZ (EXECUTIVE DIRECTOR AND PRESIDENT)
(305) 430-0085
Entity
Organization
Contact information
Practice address
20000 NW 47TH AVE, HECTOR BUILDING NO. 2, OPA LOCKA, FL 33055-1543
(305) 430-0085
(305) 430-8533
Mailing address
20000 NW 47TH AVE, HECTOR BUILDING NO. 2, OPA LOCKA, FL 33055-1543
(305) 430-0085
(305) 430-8533
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Enumeration date
06/19/2007
Last updated
08/07/2007
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