Organization
CRESTA COMFORT LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNIE V HORNE (ADMINISTRATOR/OWNER)
(305) 624-5969
Entity
Organization
Contact information
Practice address
18610 NW 21ST AVE, MIAMI GARDENS, FL 33056-2704
(305) 624-5969
(305) 623-8859
Mailing address
18610 NW 21ST AVE, MIAMI GARDENS, FL 33056-2704
(305) 624-5969
(305) 623-8859
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000463300
—
FL
Enumeration date
02/25/2009
Last updated
02/25/2009
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