Organization
EDELMIRA ALF II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDELMIRA JIMENEZ (OWNER)
(305) 562-6163
Entity
Organization
Contact information
Practice address
12030 SW 171ST TER, MIAMI, FL 33177-2167
(305) 562-6163
Mailing address
12030 SW 171ST TER, MIAMI, FL 33177-2167
(305) 562-6163
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11890
FL
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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