Organization
INFINITY PARADISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE Y HERNANDEZ (OWNER)
(786) 873-4655
Entity
Organization
Contact information
Practice address
745 NW 102ND ST, MIAMI, FL 33150-1338
(305) 758-1629
(305) 758-1958
Mailing address
745 NW 102ND ST, MIAMI, FL 33150-1338
(305) 758-1629
(305) 758-1958
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL10840
AHCA
FL
Enumeration date
03/02/2021
Last updated
03/02/2021
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