Organization
FIDELINA'S HOME, CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MONTANE (OWNER)
(305) 282-6970
Entity
Organization
Contact information
Practice address
10020 SW 55TH ST, MIAMI, FL 33165-7122
(305) 282-6970
(305) 223-2371
Mailing address
10020 SW 55TH ST, MIAMI, FL 33165-7122
(305) 282-6970
(305) 223-2371
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001695600
—
FL
Enumeration date
02/05/2010
Last updated
02/05/2010
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