Organization
SENIOR HAVEN ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE RODRIGUEZ (ADMINISTRATOR)
(305) 370-4578
Entity
Organization
Contact information
Practice address
6745 SW 32ND TERRACE, MIAMI, FL 33155-3837
(305) 370-4578
Mailing address
6745 SW 32ND TERRACE, MIAMI, FL 33155-3837
(305) 915-1574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022856800
—
FL
Enumeration date
05/21/2012
Last updated
12/14/2023
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