Organization
IVES DAIRY SENIOR CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANACAONA SENISES (PRESIDENT)
(786) 316-6007
Entity
Organization
Contact information
Practice address
19840 NE 10TH CT, MIAMI, FL 33179-3554
(786) 316-6007
Mailing address
19840 NE 10TH CT, MIAMI, FL 33179-3554
(786) 316-6007
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143020300
—
FL
Enumeration date
03/18/2008
Last updated
01/28/2012
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