Organization
EDELMIRA ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDELMIRA JIMENEZ (PRESIDENT)
(305) 562-6163
Entity
Organization
Contact information
Practice address
19720 SW 116TH AVE, MIAMI, FL 33157-1043
(305) 253-0649
(305) 253-0649
Mailing address
19720 SW 116TH AVE, MIAMI, FL 33157-1043
(305) 253-0649
(305) 225-4253
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 9683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677988300
—
FL
Enumeration date
05/18/2007
Last updated
04/30/2018
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