Provider Demographics
NPI:1518176825
Name:MORALES SWEET HOME
Entity Type:Organization
Organization Name:MORALES SWEET HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EVERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3005-681-3739
Mailing Address - Street 1:670 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1356
Mailing Address - Country:US
Mailing Address - Phone:305-681-3739
Mailing Address - Fax:305-225-1289
Practice Address - Street 1:670 E 57TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1356
Practice Address - Country:US
Practice Address - Phone:305-681-3739
Practice Address - Fax:305-225-1289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10608310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility