Organization
IYA-KERE ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L QUINONEZ (ADMINISTRATOR)
(786) 317-6505
Entity
Organization
Contact information
Practice address
911 NW 56TH ST, MIAMI, FL 33127-1441
(786) 317-6505
Mailing address
911 NW 56TH ST, MIAMI, FL 33127-1441
(786) 317-6505
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11338
FL
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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