Organization
EL SENOR DE LOS MILAGROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORTENSIA PINEDA (ADMINISTRATOR)
(786) 389-3192
Entity
Organization
Contact information
Practice address
11381 SW 247TH TER, HOMESTEAD, FL 33032-4648
(786) 339-9493
Mailing address
11381 SW 247TH TER, HOMESTEAD, FL 33032-4648
(786) 339-9493
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10718
FL
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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