Organization
ANGELE'S ASSISTED LIVING FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISBETH BASNUEVO ADMINISTRATOR (PRESIDENT)
(786) 234-3055
Entity
Organization
Contact information
Practice address
1492 EGRET RD, HOMESTEAD, FL 33035-1021
(786) 234-3055
Mailing address
1492 EGRET RD, HOMESTEAD, FL 33035-1021
(786) 234-3055
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10885
FL
3104A0625X
Assisted Living Facility (Mental Illness)
10885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142662100
—
FL
Enumeration date
02/21/2013
Last updated
06/02/2016
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