Organization
IMPERIAL GARDENS RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATESHIA ALLEN (OWNER)
(754) 367-1698
Entity
Organization
Contact information
Practice address
13300 NW 18TH CT, MIAMI, FL 33167-1527
(754) 367-1698
Mailing address
13300 NW 18TH CT, MIAMI, FL 33167-1527
(754) 367-1698
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
11/08/2019
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