Organization
ADA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRA ROSA RONDON (ADMINISTRATOR)
(305) 226-4283
Entity
Organization
Contact information
Practice address
683 NW 122ND PL, MIAMI, FL 33182-2020
(305) 226-4283
(305) 225-1289
Mailing address
683 NW 122ND PL, MIAMI, FL 33182-2020
(305) 226-4283
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142591900
—
FL
Enumeration date
05/24/2007
Last updated
06/16/2008
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