Organization
CAMACHO'S FAMILY COMMUNITY RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRELKI D GONZALEZ (OWNER/ADMIN.)
(561) 327-9130
Entity
Organization
Contact information
Practice address
17843 35TH PL N, LOXAHATCHEE, FL 33470-3624
(561) 327-9130
(917) 893-3161
Mailing address
17843 35TH PL N, LOXAHATCHEE, FL 33470-3624
(561) 327-9130
(917) 893-3161
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14067
AHCA
FL
Enumeration date
01/15/2026
Last updated
01/15/2026
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