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Organization
KEKO JONES INVESTMENT
Active
Organization
KEKO JONES INVESTMENT
Active
Other names
palm breeze assited living facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ENRIQUE COLLAZO MSW (ADMINISTRATOR)
(305) 733-5199
Entity
Organization
Contact information
Practice address
1045 PALM AVE, HIALEAH, FL 33010-4008
(305) 883-8376
(305) 883-4760
Mailing address
1045 PALM AVE, HIALEAH, FL 33010-4008
(305) 883-8376
(305) 883-4760
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL44
FL
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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