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Organization
VIDA NUEVA #1
Active
Organization
VIDA NUEVA #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDREY ROJAS (OWNER/ADMINISTRATOR)
(305) 758-1629
Entity
Organization
Contact information
Practice address
745 NW 102ND ST, MIAMI, FL 33150-1338
(305) 758-1629
Mailing address
745 NW 102ND ST, MIAMI, FL 33150-1338
(305) 758-1629
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10840
FL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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