Organization
MI CASA DORADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIDY GONZALEZ (OWNER/ ADMINISTRATOR)
(786) 356-7367
Entity
Organization
Contact information
Practice address
7701 SW 132ND AVE, MIAMI, FL 33183-4266
(786) 356-7367
Mailing address
7701 SW 132ND AVE, MIAMI, FL 33183-4266
(786) 356-7367
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11738
FL
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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