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Organization

KBL MANOR INC

Active
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Organization

KBL MANOR INC

Active
Other names
St. Joseph A.L.F.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KADIE C KISSOONLAL (ADMINISTRATOR)
(305) 251-4123
Entity
Organization

Contact information

Practice address
16100 SW 101ST AVE, MIAMI, FL 33157-3216
(305) 251-4123
Mailing address
16100 SW 101ST AVE, MIAMI, FL 33157-3216
(305) 251-4123

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL9516
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142418100
—
FL
Enumeration date
04/10/2009
Last updated
04/10/2009
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