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Organization

PALM VILLAGE ASSISTED LIVING, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDUARDO R LACASA (MANAGER)
(786) 363-3880
Entity
Organization

Contact information

Practice address
7380 SW 48TH ST, MIAMI, FL 33155-5523
(786) 363-6880
Mailing address
7380 SW 48TH ST, MIAMI, FL 33155-5523

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)

Other

Enumeration date
07/22/2009
Last updated
07/22/2009
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