Organization
PARAISO ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANY HERNANDEZ (PRESIDENT)
(786) 399-9877
Entity
Organization
Contact information
Practice address
4500 SW 114TH CT, MIAMI, FL 33165-5524
(786) 399-9877
Mailing address
4500 SW 114TH CT, MIAMI, FL 33165-5524
(786) 399-9877
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13394
—
FL
Enumeration date
04/21/2020
Last updated
04/21/2020
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