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Organization

XANADU LIVING FACILITY

Active
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Organization

XANADU LIVING FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNESTO FONTRODONA (OWNER)
(305) 774-9615
Entity
Organization

Contact information

Practice address
840 NW 44TH AVE, MIAMI, FL 33126-3525
(305) 774-9615
(305) 225-1289
Mailing address
840 NW 44TH AVE, MIAMI, FL 33126-3525
(305) 774-9615
(305) 225-1289

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10093
FL

Other

Enumeration date
05/24/2007
Last updated
08/22/2020
About Stedi
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  • EDI platform