Organization
1 ZOURCE LIVING CARE
Active
Parent organization
1 ZOURCE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
1 ZOURCE CORPORATION
Authorized official
MR. ROGELIO MALUBAY (ADMINISTRATOR / PRESIDENT)
(954) 826-7813
Entity
Organization
Contact information
Practice address
1401 NE 176TH ST, NORTH MIAMI BEACH, FL 33162-1363
(954) 826-7813
(305) 945-4186
Mailing address
16808 SW 39TH ST, MIRAMAR, FL 33027-4635
(954) 826-7813
(305) 945-4186
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143061100
—
FL
Enumeration date
05/03/2010
Last updated
05/03/2010
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