Organization
BOSAN RESIDENCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDELMA PONS (ADMINISTRATOR)
(305) 649-3492
Entity
Organization
Contact information
Practice address
1754 NW 6TH ST, MIAMI, FL 33125-4506
(305) 649-3492
Mailing address
1754 NW 6TH ST, MIAMI, FL 33125-4506
(305) 649-3492
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8355
FL
Other
Enumeration date
08/02/2008
Last updated
08/02/2008
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