Organization
HOLY FAMILY GROUP HOME, ALF,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO HERNANDEZ (PRESIDENT)
(305) 562-0615
Entity
Organization
Contact information
Practice address
920 SW 93RD AVE, MIAMI, FL 33174-3157
(305) 562-0615
Mailing address
920 SW 93RD AVE, MIAMI, FL 33174-3157
(305) 562-0615
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007273200
—
FL
Enumeration date
02/03/2013
Last updated
02/03/2013
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