Organization
ALDERSGATE RETIREMENT INC.
Active
Other names
Epworth Village Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CONOL (ACCOUNTING DIRECTOR)
(305) 556-3500
Entity
Organization
Contact information
Practice address
5300 W 16TH AVE, HIALEAH, FL 33012-2104
(305) 556-3500
(305) 821-1407
Mailing address
5300 W 16TH AVE, HIALEAH, FL 33012-2104
(305) 556-3500
(305) 821-1407
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136100
—
FL
Enumeration date
01/20/2014
Last updated
01/20/2014
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