Provider Demographics
NPI:1972128452
Name:SNOW WHITE GROUP HOMES CORP
Entity Type:Organization
Organization Name:SNOW WHITE GROUP HOMES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:URBANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-431-8298
Mailing Address - Street 1:10020 SW 55TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7122
Mailing Address - Country:US
Mailing Address - Phone:786-786-9031
Mailing Address - Fax:866-206-9478
Practice Address - Street 1:10020 SW 55TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7122
Practice Address - Country:US
Practice Address - Phone:786-786-9031
Practice Address - Fax:866-206-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities