Organization
REVELATION ALF, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISBET BARBARA SOSA (OWNER)
(305) 776-3105
Entity
Organization
Contact information
Practice address
8026 NW 162ND ST, MIAMI LAKES, FL 33016-6110
(305) 776-3105
(786) 536-2806
Mailing address
8026 NW 162ND ST, MIAMI LAKES, FL 33016-6110
(305) 776-3105
(786) 536-2806
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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