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Organization
WILLOW HAVEN ALF, INC.
Active
Organization
WILLOW HAVEN ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA PEREZ (DIRECTOR)
(305) 653-3894
Entity
Organization
Contact information
Practice address
1220 NE 207TH ST, NORTH MIAMI BEACH, FL 33179-2019
(305) 653-3894
Mailing address
1220 NE 207TH ST, NORTH MIAMI BEACH, FL 33179-2019
(305) 653-3894
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142152200
—
FL
Enumeration date
05/21/2007
Last updated
07/24/2011
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