Organization
ANDALUSIA A. L. F. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY SARDUY SANTOS (OWNER)
(786) 333-2573
Entity
Organization
Contact information
Practice address
360 EAST 65 STREET, HIALEAH, FL 33013
(305) 456-4111
(305) 456-4111
Mailing address
360 EAST 65 STREET, HIALEAH, FL 33013
(305) 456-4111
(305) 456-4111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142631100
—
FL
Enumeration date
05/16/2007
Last updated
11/04/2024
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