Organization
FAIRWAY ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO MESTRE (PRESIDENT)
(786) 942-2799
Entity
Organization
Contact information
Practice address
15523 SW 105TH AVE, MIAMI, FL 33157-1408
(786) 285-1474
(305) 704-8426
Mailing address
15523 SW 105TH AVE, MIAMI, FL 33157-1408
(786) 285-1474
(305) 704-8426
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11363
FL
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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