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Organization

DE BLANCA HOME VI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLANCA LOPETEGUI ADMINISTRATOR (OWNER)
(305) 228-0018
Entity
Organization

Contact information

Practice address
125 SW 103RD CT, MIAMI, FL 33174-1753
(305) 228-0018
Mailing address
125 SW 103RD CT, MIAMI, FL 33174-1753
(305) 228-0018

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10171
FL

Other

Enumeration date
06/19/2008
Last updated
06/19/2008
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