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Organization

LA ESTANCIA HOME CARE ALF ,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE FERNANDEZ (VP)
(305) 747-8663
Entity
Organization

Contact information

Practice address
15321 NW 33RD CT, MIAMI GARDENS, FL 33054
(786) 483-7993
Mailing address
15321 NW 33RD CT, MIAMI GARDENS, FL 33054-2403
(786) 483-7993

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13024
AR

Other

Enumeration date
06/27/2017
Last updated
07/21/2022
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