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Organization

RICHLAND RETIREMENT HOME II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDY FERNANDEZ (PRESIDENT)
(305) 609-9511
Entity
Organization

Contact information

Practice address
721 NW 13TH AVE, MIAMI, FL 33125-3742
(305) 548-0444
(305) 548-5044
Mailing address
721 NW 13TH AVE, MIAMI, FL 33125-3742
(305) 548-0444
(305) 548-5044

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11262
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141053900
FL
Enumeration date
09/04/2008
Last updated
09/04/2008
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