Provider Demographics
NPI:1811266414
Name:BELEN SWEET HOME ALF , INC
Entity type:Organization
Organization Name:BELEN SWEET HOME ALF , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RAFAELA
Authorized Official - Middle Name:DEL PILAR
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-514-9428
Mailing Address - Street 1:11500 SW 192ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8105
Mailing Address - Country:US
Mailing Address - Phone:786-514-9428
Mailing Address - Fax:305-234-3568
Practice Address - Street 1:11500 SW 192ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-8105
Practice Address - Country:US
Practice Address - Phone:786-514-9428
Practice Address - Fax:305-234-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11110310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility