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Organization
SWEET ANGELS HOME, INC
Active
Organization
SWEET ANGELS HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA CORDOVA (OWNER-ADMINISTRATOR)
(305) 974-4163
Entity
Organization
Contact information
Practice address
15680 NW 40TH CT, MIAMI GARDENS, FL 33054-6762
(305) 974-4163
Mailing address
15680 NW 40TH CT, MIAMI GARDENS, FL 33054-6762
(305) 974-4163
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-11612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002377700
—
FL
Enumeration date
10/18/2010
Last updated
10/18/2010
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