| Om Divine Haven Inc | |
|
8772 Sw 212th Ter Cutler Bay FL 33189-3879 | |
| (305) 970-8671 | |
| Not Available |
| Full Name | Om Divine Haven Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8772 Sw 212th Ter, Cutler Bay, Florida |
| Authorized Official Name and Position | Eulalia Maria Jimenez-hincapie (OWNER) |
| Authorized Official Contact | 3059708671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Divine Haven Inc 8772 Sw 212th Ter Cutler Bay FL 33189-3879 Ph: (305) 970-8671 | Om Divine Haven Inc 8772 Sw 212th Ter Cutler Bay FL 33189-3879 Ph: (305) 970-8671 |
| NPI Number | 1215481783 |
|---|---|
| Provider Enumeration Date | 08/12/2016 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215481783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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