Organization
HOGAR DE ABUELOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNALDO QUINTERO (ADMINISTRATOR)
(305) 635-2893
Entity
Organization
Contact information
Practice address
3240 NW 18TH ST, MIAMI, FL 33125-1838
(305) 635-2893
Mailing address
3240 NW 18TH ST, MIAMI, FL 33125-1838
(305) 635-2893
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000587500
—
FL
Enumeration date
11/01/2009
Last updated
11/01/2009
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