Organization
SAMPEDRO RESIDENCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ROSELLO (PRESIDENT)
(305) 633-8607
Entity
Organization
Contact information
Practice address
3240 NW 14TH ST, MIAMI, FL 33125-1802
(305) 633-8607
(305) 633-8607
Mailing address
9890 SW 28TH ST, MIAMI, FL 33165-2900
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8137
FL
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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