Organization
AMANDA'S PARADISE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN R VERA (PRESIDENT)
(305) 386-6695
Entity
Organization
Contact information
Practice address
6132 SW 129TH CT, MIAMI, FL 33183-1238
(305) 386-6695
Mailing address
6132 SW 129TH CT, MIAMI, FL 33183-1238
(305) 386-6695
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10168
FL
3104A0625X
Assisted Living Facility (Mental Illness)
10168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142154900
—
FL
Enumeration date
05/15/2007
Last updated
01/28/2012
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