Organization
NUEVA VIDA #1, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO HERNANDEZ (PRESIDENT)
(786) 346-0676
Entity
Organization
Contact information
Practice address
745 NW 102 ST, MIAMI, FL 33150-1338
(786) 444-8788
(305) 751-1831
Mailing address
745 NW 102ND ST, MIAMI, FL 33150-1338
(786) 444-8788
(305) 751-1831
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10840
FL
3104A0625X
Assisted Living Facility (Mental Illness)
10840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142676100
—
FL
Enumeration date
05/24/2007
Last updated
07/22/2008
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