Provider Demographics
NPI:1053551770
Name:BELEN SWEET HOME ALF II INC.
Entity type:Organization
Organization Name:BELEN SWEET HOME ALF II INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:JOSEFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANZARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-273-6061
Mailing Address - Street 1:11825 S.W. 206 ST.
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177
Mailing Address - Country:US
Mailing Address - Phone:305-255-6750
Mailing Address - Fax:305-397-1860
Practice Address - Street 1:11825 S.W. 206 ST.
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177
Practice Address - Country:US
Practice Address - Phone:305-255-6750
Practice Address - Fax:305-397-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-21
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11532310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility