Organization
LIVING EXCELLENCE GROUP HOME OF MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MARIA RODRIGUEZ (ADMINISTRATOR)
(786) 306-7259
Entity
Organization
Contact information
Practice address
12949 SW 197TH ST, MIAMI, FL 33177-4808
(786) 393-9092
Mailing address
12949 SW 197TH ST, MIAMI, FL 33177-4808
(786) 393-9092
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12139
FL
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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