Organization
LILLIE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO VACAS NEGREDO (OWNER)
(786) 803-6124
Entity
Organization
Contact information
Practice address
11631 SW 100TH ST, MIAMI, FL 33176-2521
(786) 803-6124
(305) 251-9063
Mailing address
11631 SW 100TH ST, MIAMI, FL 33176-2521
(786) 803-6124
(305) 251-9063
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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