Organization
PROFESSIONAL NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R PEREZ (PRESIDENT)
(786) 423-6758
Entity
Organization
Contact information
Practice address
447 E 26TH ST, HIALEAH, FL 33013-3818
(786) 423-6758
Mailing address
447 E 26TH ST, HIALEAH, FL 33013-3818
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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