Organization
LA GLORIA DE DIOS II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARA Y MONTANO HERNANDEZ (OWNER/ADMIN)
(786) 547-3556
Entity
Organization
Contact information
Practice address
550 SW 121ST AVE, MIAMI, FL 33184-1653
(305) 554-6967
(305) 554-6967
Mailing address
550 SW 121ST AVE, MIAMI, FL 33184-1653
(305) 554-6967
(305) 554-6967
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12231
AHCA
FL
Enumeration date
04/14/2026
Last updated
04/14/2026
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