Organization
FAMILY BOARDING HOME INC
Active
Other names
Pines ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN CORTEGUERA (ASSISTED LIVING FACILITY ADM.)
(305) 643-2571
Entity
Organization
Contact information
Practice address
1800 SW 11TH TER, MIAMI, FL 33135-5114
(305) 643-2571
(305) 644-0091
Mailing address
1800 SW 11 TERRACE, MIAMI, FL 33135
(305) 643-2571
(305) 644-0091
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140878000
—
FL
Enumeration date
03/03/2011
Last updated
03/03/2011
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