Organization
LYDIAAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA BOZA (OWNER)
(305) 305-3408
Entity
Organization
Contact information
Practice address
1420 NE 203RD ST, MIAMI, FL 33179-5152
(305) 999-9235
(305) 621-9509
Mailing address
1420 NE 203RD ST, MIAMI, FL 33179-5152
(305) 999-9235
(305) 621-9509
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10970
FL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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