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Organization
VICKEY'S HOME ALF
Active
Organization
VICKEY'S HOME ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY CAPOTE (OWNER)
(305) 587-3125
Entity
Organization
Contact information
Practice address
6402 SW 41 STREET, MIAMI, FL 33155
(305) 662-4845
(855) 631-3861
Mailing address
6402 SW 41 STREET, MIAMI, FL 33155
(305) 662-4845
(855) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11137
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142522600
—
FL
Enumeration date
10/07/2008
Last updated
04/11/2022
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