Organization
PRIMAVERA ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA RODRIGUEZ SANDE (OWNER)
(786) 558-4619
Entity
Organization
Contact information
Practice address
5301 SW 116TH AVE, MIAMI, FL 33165-6827
(786) 558-4619
(786) 558-4619
Mailing address
5301 SW 116TH AVE, MIAMI, FL 33165-6827
(786) 558-4619
(786) 558-4619
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5165
AHCA
FL
Enumeration date
08/26/2024
Last updated
08/26/2024
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