Organization · Type 2 NPI

Ebenezer Family Home, Inc

Assisted Living Facility · Hialeah, FL

NPI number 1104071778 Active

Practice location

6690 W 14th Ave
Hialeah, FL 33012-6239

Call (305) 857-9425 Map

Fax (305) 223-2371

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL8519 (FL)

Assisted Living Facility: 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.

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About NPI 1104071778

Ebenezer Family Home, Inc's National Provider Identifier is 1104071778, issued on Nov 24, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Hialeah, FL. The record was last updated on Jan 8, 2009.