Healthcare Provider Details

I. General information

NPI: 1437416799
Provider Name (Legal Business Name): KABIRHU ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 06/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12221 W DIXIE HWY
NORTH MIAMI FL
33161-5427
US

IV. Provider business mailing address

12221 W DIXIE HWY
NORTH MIAMI FL
33161-5427
US

V. Phone/Fax

Practice location:
  • Phone: 305-653-8427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER R CAMACHO
Title or Position: MANAGER
Credential:
Phone: 305-653-8427