Organization
LOLITA HOME CARE ALF CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOELVIS FERNANDEZ (OWNER/ADMIN.)
(786) 329-2319
Entity
Organization
Contact information
Practice address
4124 SW 97TH CT, MIAMI, FL 33165-5147
(305) 229-8907
(305) 229-8907
Mailing address
4124 SW 97TH CT, MIAMI, FL 33165-5147
(305) 229-8907
(305) 229-8907
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8174
FL
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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