Organization
SHANGRI LA I INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLO PASSAMONTI (OWNER)
(786) 334-3958
Entity
Organization
Contact information
Practice address
16034 SW 150TH ST, MIAMI, FL 33196-6558
(786) 334-3958
Mailing address
16034 SW 150TH ST, MIAMI, FL 33196-6558
(786) 334-3958
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12773
FL
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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