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Organization
REBULL SENIOR LIVING
Active
Organization
REBULL SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS HERNANDEZ (OWNER)
(786) 775-8696
Entity
Organization
Contact information
Practice address
10790 SW 43RD TER, MIAMI, FL 33165-4835
(786) 775-8696
Mailing address
10790 SW 43RD TER, MIAMI, FL 33165-4835
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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