Provider Demographics
NPI:1225341332
Name:HALEY'S HOUSE INC
Entity Type:Organization
Organization Name:HALEY'S HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATIONAL
Authorized Official - Prefix:
Authorized Official - First Name:MAHALIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-245-7715
Mailing Address - Street 1:16650 SW 55TH COURT RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-0600
Mailing Address - Country:US
Mailing Address - Phone:352-245-7715
Mailing Address - Fax:352-245-9180
Practice Address - Street 1:16650 SW 55TH COURT RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-0600
Practice Address - Country:US
Practice Address - Phone:352-245-7715
Practice Address - Fax:352-245-9180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-18
Last Update Date:2010-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home