Organization
GODS VIP SENIOR HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PILAR CARVAJAL (AGENT)
(800) 425-9914
Entity
Organization
Contact information
Practice address
4681 SW 66TH AVE, DAVIE, FL 33314
(954) 581-9111
(954) 581-6813
Mailing address
4681 SW 66TH AVE, DAVIE, FL 33314
(954) 581-9111
(954) 581-6813
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
05/17/2019
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