Organization
LAGO PLACE INC
Active
Other names
ISABEL ADULT CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAY DIAZ (OWNER)
(786) 314-0220
Entity
Organization
Contact information
Practice address
10711 SW 52 TERRACE, MIAMI, FL 33165-7037
(786) 534-8402
(786) 534-8402
Mailing address
10711 SW 52 TERRACE, MIAMI, FL 33165-7037
(786) 534-8402
(786) 534-8402
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140408300
—
FL
05
—
679164600
—
FL
Enumeration date
07/10/2007
Last updated
02/14/2020
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