Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN ORDOVAS (ADMINISTRADOR)
(786) 488-7587
Entity
Organization
Contact information
Practice address
9270 SW 42 TERRA, MIAMI, FL 33165
(305) 207-4481
(305) 820-0335
Mailing address
9270 SW 42 TERRA, MIAMI, FL 33165
(305) 207-4481
(305) 820-0335
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9648
FL
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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