| Living Hope Group Home | |
|
4634 Sw 164th Ct Miami FL 33185 | |
| (786) 474-7545 | |
| (786) 362-6128 |
| Full Name | Living Hope Group Home |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4634 Sw 164th Ct, Miami, Florida |
| Authorized Official Name and Position | Juan M Arencibia (REGISTERED BEHAVIORAL TECHNICIAN) |
| Authorized Official Contact | 7864747545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Hope Group Home 4634 Sw 164th Ct Miami FL 33185-5198 Ph: (786) 474-7545 | Living Hope Group Home 4634 Sw 164th Ct Miami FL 33185 Ph: (786) 474-7545 |
| NPI Number | 1295183879 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 03/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295183879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | RBT-15-01059 (Florida) | Primary |
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