Organization
GONZALEZ ADULT CARE FACILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOANNERY C GONZALEZ (OWNER/ADMIN.)
(561) 246-2080
Entity
Organization
Contact information
Practice address
228 DATE PALM DR, LAKE PARK, FL 33403-3407
(561) 720-2953
(561) 228-0581
Mailing address
228 DATE PALM DR, LAKE PARK, FL 33403-3407
(561) 720-2953
(561) 228-0581
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13736
AHCA
FL
Enumeration date
08/24/2022
Last updated
08/24/2022
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