Organization
LOS TRES MILAGROS II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOADYS JORGE (OWNER/ADMINISTRATOR)
(786) 610-8113
Entity
Organization
Contact information
Practice address
15431 SW 159TH ST, MIAMI, FL 33187-5409
(305) 234-7246
(305) 489-8214
Mailing address
15431 SW 159TH ST, MIAMI, FL 33187-5409
(305) 964-5789
(786) 373-0112
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12398
FL
Other
Enumeration date
09/25/2013
Last updated
01/11/2023
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