Organization
KEKO JONES INVESTMENT
Active
Other names
palm breeze assited living facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ENRIQUE COLLAZO MSW (ADMINISTRATOR)
(305) 733-5199
Entity
Organization
Contact information
Practice address
1045 PALM AVE, HIALEAH, FL 33010-4008
(305) 883-8376
(305) 883-4760
Mailing address
1045 PALM AVE, HIALEAH, FL 33010-4008
(305) 883-8376
(305) 883-4760
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL44
FL
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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