Organization
LAKEVIEW ALF, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LUIS MARTIN (OWNER/ADMINISTRATOR)
(305) 387-4063
Entity
Organization
Contact information
Practice address
14220 KENDALE LAKES BLVD, MIAMI, FL 33183-3923
(305) 387-4063
(305) 387-4063
Mailing address
14220 KENDALE LAKES BLVD, MIAMI, FL 33183-3923
(305) 387-4063
(305) 387-4063
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001601900
—
FL
Enumeration date
12/29/2010
Last updated
12/29/2010
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