Organization
CORNELL ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN B PLAZA (PRESIDENT)
(305) 801-1162
Entity
Organization
Contact information
Practice address
581-583 CENTRAL BOULEVARD, MIAMI, FL 33144
(305) 801-1162
(305) 207-2379
Mailing address
581-583 CENTRAL BOULEVARD, MIAMI, FL 33144
(305) 801-1162
(305) 207-2379
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142517000
—
FL
Enumeration date
11/24/2008
Last updated
11/24/2008
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