Organization
ODALYS HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO PEDROL (OWNER)
(305) 979-6296
Entity
Organization
Contact information
Practice address
4342 SW 129TH AVE, MIAMI, FL 33175-4020
(305) 553-8701
(305) 553-8701
Mailing address
4342 SW 129TH AVE, MIAMI, FL 33175-4020
(305) 553-8701
(305) 553-8701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140643400
—
FL
Enumeration date
01/09/2008
Last updated
11/26/2024
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