Healthcare Provider Details

I. General information

NPI: 1134308083
Provider Name (Legal Business Name): DVAR TOVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 W 9TH ST
HIALEAH FL
33010-4015
US

IV. Provider business mailing address

140 W 28TH ST
HIALEAH FL
33010-1606
US

V. Phone/Fax

Practice location:
  • Phone: 305-887-8095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA PACE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 305-863-0002