Organization
ANORANZA DE MI VIEJO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YORDAN SENAN BENITEZ (PRESIDENT)
(954) 225-0199
Entity
Organization
Contact information
Practice address
1849 W FLAGLER ST, MIAMI, FL 33135-1939
(786) 278-7190
Mailing address
1849 W FLAGLER ST, MIAMI, FL 33135-1939
(954) 225-0199
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
01/30/2020
Last updated
03/20/2023
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