Organization
ISA HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE MEDEROS (OWNER)
(786) 857-2660
Entity
Organization
Contact information
Practice address
13316 SW 112 CT, MIAMI, FL 33176
(786) 592-1119
Mailing address
13316 SW 112 CT, MIAMI, FL 33176
(786) 592-1119
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12367
FL
Other
Enumeration date
07/10/2013
Last updated
03/12/2025
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