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Organization

DE BLANCA HOME SERVICE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BLANCA LOPETEGUI (ADMINISTRATOR)
(305) 343-6424
Entity
Organization

Contact information

Practice address
2520 SW 102ND AVE, MIAMI, FL 33165-2524
(305) 343-6424
Mailing address
2520 SW 102ND AVE, MIAMI, FL 33165-2524
(305) 343-6424

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10154
FL

Other

Enumeration date
06/25/2007
Last updated
08/22/2020
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