Organization
ELOHIM ADONAI HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALYS MARTINEZ OWNER (ADMINISTRATOR)
(786) 565-9625
Entity
Organization
Contact information
Practice address
20121 NW 43RD AVE, MIAMI GARDENS, FL 33055-1501
(786) 565-9625
Mailing address
20121 NW 43RD AVE, MIAMI GARDENS, FL 33055-1501
(786) 565-9625
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
04/02/2020
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