Organization
DIANA HOME CARE IV CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGUEDO VALDEZ (OWNER)
(305) 225-7119
Entity
Organization
Contact information
Practice address
526 SW 66TH AVE, MIAMI, FL 33144-3751
(305) 225-7119
(305) 225-1289
Mailing address
526 SW 66TH AVE, MIAMI, FL 33144-3751
(305) 225-7119
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11822
FL
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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