Provider Demographics
NPI:1043497597
Name:RILIZ HOME, CORP
Entity type:Organization
Organization Name:RILIZ HOME, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:OBDULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REGUEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-825-4270
Mailing Address - Street 1:8777 NW 110TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4510
Mailing Address - Country:US
Mailing Address - Phone:305-825-4270
Mailing Address - Fax:
Practice Address - Street 1:8777 NW 110TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4510
Practice Address - Country:US
Practice Address - Phone:305-825-4270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11177310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility