Organization
DIAZ HOME CARE ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE GONGAR (PRESIDENT)
(786) 286-2826
Entity
Organization
Contact information
Practice address
13481 SW 268 TERRACE, HOMESTEAD, FL 33032-7649
(786) 286-2826
(786) 601-7751
Mailing address
13481 SW 268 TERRACE, HOMESTEAD, FL 33032-7649
(786) 286-2826
(786) 601-7751
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018532600
—
FL
Enumeration date
11/14/2007
Last updated
07/31/2020
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