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Organization
VANGELAS ASSISTED LIVING FACILITY CORP
Active
Organization
VANGELAS ASSISTED LIVING FACILITY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED SHARON (ADMINISTRATOR)
(305) 528-1563
Entity
Organization
Contact information
Practice address
789 NW 145TH TER, MIAMI, FL 33168-3037
(305) 528-1563
Mailing address
789 NW 145TH TER, MIAMI, FL 33168-3037
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12120
FL
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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