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Organization

OUR LADY OF CHARITY ACLF, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CANDIDA DIAZ (PRESIDENT)
(786) 586-6087
Entity
Organization

Contact information

Practice address
2927 SW 21ST TER, MIAMI, FL 33145-2319
(305) 567-9321
(305) 634-2076
Mailing address
2927 SW 21ST TER, MIAMI, FL 33145-2319
(305) 567-9321
(305) 634-2076

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8352
FL
310400000X
Assisted Living Facility
AL8352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140654000
FL
Enumeration date
05/11/2007
Last updated
04/11/2018
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