Organization
RESIDENCIA SALOME,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YANELIS ALEGRE (ADMINISTRATOR)
(305) 804-5888
Entity
Organization
Contact information
Practice address
3525 SW 130TH AVE, MIAMI, FL 33175-2819
(305) 804-5888
Mailing address
3525 SW 130TH AVE, MIAMI, FL 33175-2819
(305) 804-5888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142130100
—
FL
05
—
688311700
—
FL
Enumeration date
12/19/2006
Last updated
11/30/2011
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