Organization
CAREONE CONNECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA WALLACE LICENSE AFL (DIRECTOR OF ASSISTING LIVING)
(305) 767-8224
Entity
Organization
Contact information
Practice address
17625 NW 37TH CT, MIAMI GARDENS, FL 33055-3835
(305) 767-8224
Mailing address
17625 NW 37TH CT, MIAMI GARDENS, FL 33055-3835
(305) 767-8224
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
04/18/2010
Last updated
04/18/2010
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