Provider Demographics
NPI:1346691011
Name:RAIMA LUZ HOME SERVICES INC
Entity Type:Organization
Organization Name:RAIMA LUZ HOME SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAIMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:954-394-2835
Mailing Address - Street 1:110 W 38TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4404
Mailing Address - Country:US
Mailing Address - Phone:954-394-2835
Mailing Address - Fax:
Practice Address - Street 1:110 W 38TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4404
Practice Address - Country:US
Practice Address - Phone:954-394-2835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty