Provider Demographics
NPI:1366605479
Name:LILITA HOME II INC.
Entity type:Organization
Organization Name:LILITA HOME II INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARIDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-962-6293
Mailing Address - Street 1:2451 SW 103 WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3984
Mailing Address - Country:US
Mailing Address - Phone:954-431-4432
Mailing Address - Fax:954-431-4432
Practice Address - Street 1:2451 SW 103 WAY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3984
Practice Address - Country:US
Practice Address - Phone:954-431-4432
Practice Address - Fax:954-431-4432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL 10419310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility