EBENEZER FAMILY HOME III LLC NPI 1437617156

NPI Information

EBENEZER FAMILY HOME III LLC is an assisted living facility in Miami, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EBENEZER FAMILY HOME III LLC NPI is 1437617156. The provider is registered as an organization entity type.

The provider's business location address is:

18309 SW 114TH CT
MIAMI, FL
ZIP 33157-989
Phone: (305) 256-9902
Fax: (305) 351-8782

The provider's authorized official is Erich Capestany .
The authorized official title is Owner/admin. and has the following contact phone number (786) 376-6767.

The enumeration date for this NPI number is 3/12/2019 and was last updated on 3/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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