Organization
HEALTH SHINE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVET DEL VALLE (OWNER/ADMIN)
(786) 536-2235
Entity
Organization
Contact information
Practice address
2481 SW 145TH AVE, MIAMI, FL 33175-7476
(786) 536-2235
(786) 536-2331
Mailing address
2481 SW 145TH AVE, MIAMI, FL 33175-7476
(786) 536-2235
(786) 536-2331
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13634
AHCA
FL
Enumeration date
06/11/2024
Last updated
06/11/2024
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