Organization
ANGELES DE VIDA ALF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HEYDIS ESTHER GARCIA (OWNER)
(786) 312-3574
Entity
Organization
Contact information
Practice address
11263 SW 35TH TER, MIAMI, FL 33165-3409
(786) 312-3574
Mailing address
11263 SW 35TH TER, MIAMI, FL 33165-3409
(786) 312-3574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12755
—
FL
Enumeration date
04/19/2021
Last updated
04/19/2021
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