Organization
ABUELITO'S RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA DIAZ (OWNER)
(305) 558-6777
Entity
Organization
Contact information
Practice address
7855 NW 185TH ST, HIALEAH, FL 33015-2719
(305) 558-6777
(305) 225-1289
Mailing address
7855 NW 185TH ST, HIALEAH, FL 33015-2719
(305) 558-6777
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10068
FL
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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