| NPI | 1710600275 |
|---|---|
| Doing Business As | IMELDA HOUSE |
| Entity Type | Organization |
| Authorized Contact | VARLET PHILIPPE CEO 305-487-1792 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 174200000X |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |