Provider Demographics
NPI:1528304201
Name:TWO SISTERS HOME II CORP
Entity type:Organization
Organization Name:TWO SISTERS HOME II CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ODRISAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:DESPAIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-999-4860
Mailing Address - Street 1:12335 NW 98 AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018
Mailing Address - Country:US
Mailing Address - Phone:305-640-5068
Mailing Address - Fax:605-822-7266
Practice Address - Street 1:12335 NW 98TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-2957
Practice Address - Country:US
Practice Address - Phone:305-640-5068
Practice Address - Fax:305-822-7266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10285310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility