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Organization
TADEOS ALF CORP
Active
Organization
TADEOS ALF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L QUINONEZ (OWNER)
(786) 317-6505
Entity
Organization
Contact information
Practice address
1525 SW 119TH CT, MIAMI, FL 33184
(305) 221-4905
Mailing address
1525 SW 119TH CT, MIAMI, FL 33184
(305) 221-4905
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140000200
—
FL
05
—
680283400
—
FL
Enumeration date
05/23/2007
Last updated
09/04/2008
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