Organization
AVE FENIX ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURYS ALFONSO NARANJO (OWNER/ADMIN.)
(786) 715-1839
Entity
Organization
Contact information
Practice address
10120 CARIBBEAN BLVD, CUTLER BAY, FL 33189-1526
(786) 250-4456
(786) 250-4456
Mailing address
10120 CARIBBEAN BLVD, CUTLER BAY, FL 33189-1526
(786) 250-4456
(786) 250-4456
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13833
AHCA
FL
Enumeration date
10/10/2023
Last updated
10/10/2023
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