Organization
LUZ DEL ESPIRITU SANTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS GONZALEZ (ADMINISTRATOR)
(305) 253-0906
Entity
Organization
Contact information
Practice address
14584 SW 174TH ST, MIAMI, FL 33177-6636
(305) 253-0906
Mailing address
14584 SW 174TH ST, MIAMI, FL 33177-6636
(305) 253-0906
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10768
FL
Other
Enumeration date
08/02/2008
Last updated
08/02/2008
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