Organization
BETHEL ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSMEY FABREGAT MIRANDA (OWNER/ADMIN)
(786) 241-4086
Entity
Organization
Contact information
Practice address
15302 SW 142ND TER, MIAMI, FL 33196-2877
(305) 964-5103
(305) 964-5103
Mailing address
15302 SW 142ND TER, MIAMI, FL 33196-2877
(305) 964-5103
(305) 964-5103
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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