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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