Organization
SUANY'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS PIEDRA GOMEZ (OWNER)
(786) 241-0580
Entity
Organization
Contact information
Practice address
20411 S.W. 116 ROAD, MIAMI, FL 33189
(305) 252-0734
(305) 252-0734
Mailing address
20411 S.W. 116 ROAD, MIAMI, FL 33189
(305) 252-0734
(305) 252-0734
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007850100
—
FL
Enumeration date
08/13/2014
Last updated
02/21/2018
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