Organization
PARADISE ADULT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIURKA ROJAS LOPEZ (OWNER)
(786) 768-0498
Entity
Organization
Contact information
Practice address
480 W 66 ST, HIALEAH, FL 33012-6667
(786) 277-9822
(305) 822-0121
Mailing address
480 W 66 ST, HIALEAH, FL 33012-6667
(305) 822-0994
(305) 822-0121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142499800
—
FL
01
—
693137500
MEDICAID WAIVER
FL
Enumeration date
05/22/2007
Last updated
09/26/2023
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