Organization
PARAISO DOS GARDENIAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL LEON FERNANDEZ (OWNER)
(786) 227-0853
Entity
Organization
Contact information
Practice address
7450 W 14TH CT, HIALEAH, FL 33014-3414
(786) 360-3661
(786) 360-3661
Mailing address
7450 W 14TH CT, HIALEAH, FL 33014-3414
(786) 360-3661
(786) 360-3661
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8126
AHCA
FL
Enumeration date
07/11/2022
Last updated
07/11/2022
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