Organization
DAVISITO'S 2, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO LOPEZ (VICE PRESIDENT)
(305) 793-0881
Entity
Organization
Contact information
Practice address
13701 SW 71ST LN, MIAMI, FL 33183-2140
(305) 793-0881
(305) 388-6879
Mailing address
13701 SW 71ST LN, MIAMI, FL 33183-2140
(305) 793-0881
(305) 388-6879
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12445
FL
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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