Organization
PAVILION GARDENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO GODINEZ (ADMINISTRATOR)
(305) 884-5613
Entity
Organization
Contact information
Practice address
71 W 30TH ST, HIALEAH, FL 33012-5412
(305) 884-5613
(305) 884-5225
Mailing address
71 W 30TH ST, HIALEAH, FL 33012-5412
(305) 884-5613
(305) 884-5225
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
7469
FL
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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