Organization
SENIOR'S PALACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE MARRERO (OWNER/ADMINISTRATOR)
(305) 885-7733
Entity
Organization
Contact information
Practice address
1760 E 1ST AVE, HIALEAH, FL 33010-3104
(305) 885-7733
(305) 888-7733
Mailing address
1760 E 1ST AVE, HIALEAH, FL 33010-3104
(305) 885-7733
(305) 888-7733
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL5738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140778300
—
FL
05
—
674224600
—
FL
Enumeration date
05/14/2008
Last updated
05/14/2008
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