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Organization

SILVER MOMENTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BEATRIZ DIAZ (ADMINISTRADOR)
(305) 878-5970
Entity
Organization

Contact information

Practice address
4546 NW 111TH CT, DORAL, FL 33178-4362
(305) 878-5970
(305) 597-0531
Mailing address
4546 NW 111TH CT, DORAL, FL 33178-4362
(305) 878-5970
(305) 597-0531

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11053
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142852700
FL
Enumeration date
06/17/2008
Last updated
06/17/2008
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