Organization
LAS DELICIAS ALF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NOA FUENTES (OWNER)
(786) 271-3124
Entity
Organization
Contact information
Practice address
4840 N.W. 191 ST., MIAMI GARDENS, FL 33055
(305) 623-5193
(305) 623-5193
Mailing address
4840 N.W. 191 ST., MIAMI GARDENS, FL 33055
(305) 623-5193
(305) 623-5193
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL10907
FL
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788100
—
FL
05
—
1427113 00
—
FL
Enumeration date
05/28/2007
Last updated
12/20/2019
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