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Organization
VIDA HOME, LLC
Active
Organization
VIDA HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIKEL RODRIGUEZ (OWNER)
(305) 992-3629
Entity
Organization
Contact information
Practice address
415 E 39TH ST, HIALEAH, FL 33013-2726
(786) 318-3495
Mailing address
415 E 39TH ST, HIALEAH, FL 33013-2726
(786) 318-3495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-9854
FL
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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