Organization
FLAMINGO PARK MANOR LLC
Active
Other names
Flamingo Park Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA PACE (DIRECTOR OF OPERATIONS)
(786) 419-6949
Entity
Organization
Contact information
Practice address
3051 E 4TH AVE, HIALEAH, FL 33013-3260
(786) 419-6949
Mailing address
140 W 28TH ST, HIALEAH, FL 33010-1606
(786) 419-6949
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7308
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL7308
FL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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