Organization
CASA EDAD DORADA ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISBET VARGAS (PRESIDENT)
(786) 554-4313
Entity
Organization
Contact information
Practice address
11263 SW 35TH TER, MIAMI, FL 33165-3409
(786) 554-4313
Mailing address
11263 SW 35TH TER, MIAMI, FL 33165-3409
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12755
FL
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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