Organization
LILI'S HOME CARE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD ANDRES MOGOLLON (OWNER)
(305) 305-2400
Entity
Organization
Contact information
Practice address
6321 S.W. 20 TERR., MIAMI, FL 33155
(305) 262-9287
(305) 262-9287
Mailing address
6321 S.W. 20 TERR., MIAMI, FL 33155
(305) 262-9287
(305) 262-9287
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 9272
FL
Other
Enumeration date
05/20/2007
Last updated
04/10/2023
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