Organization
ANNIE C HORN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XAVIER MOORE (EXECUTIVE DIRECTOR)
(478) 397-8354
Entity
Organization
Contact information
Practice address
17020 NW 47TH AVE, OPA LOCKA, FL 33055-4265
(478) 397-8354
Mailing address
17020 NW 47TH AVE, OPA LOCKA, FL 33055-4265
(478) 397-8354
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10751
FL
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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