Organization
ROYAL DESTINY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN J BRANFORD (OWNER/ ADMINISTRATOR)
(305) 474-3273
Entity
Organization
Contact information
Practice address
3260 NW 179TH ST, MIAMI GARDENS, FL 33056-3416
(305) 474-3273
(305) 474-3278
Mailing address
3260 NW 179TH ST, MIAMI GARDENS, FL 33056-3416
(305) 474-3273
(305) 474-3278
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142487400
—
FL
Enumeration date
05/13/2008
Last updated
05/13/2008
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