Organization
LIDI'S HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO LLANOS (ADMINISTRATOR)
(305) 223-9611
Entity
Organization
Contact information
Practice address
15678 SW 20TH ST, MIAMI, FL 33185-5826
(305) 223-9611
(305) 225-1289
Mailing address
15678 SW 20TH ST, MIAMI, FL 33185-5826
(305) 223-9611
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 10822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142611700
—
FL
Enumeration date
05/20/2007
Last updated
08/13/2008
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