Organization
A SENIOR LIVING DREAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBINSON GRACIANO PRESIDENT (ADMINISTRATOR)
(609) 428-9360
Entity
Organization
Contact information
Practice address
13442 SW 284 TH STREET, HOMESTEAD, FL 33033-1942
(609) 428-9360
(305) 602-8167
Mailing address
13442 SW 284 TH STREET, HOMESTEAD, FL 33033
(786) 786-3495
(305) 602-8167
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12831
FL
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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