Organization
DAVISITO'S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO LOPEZ (VP)
(305) 793-0881
Entity
Organization
Contact information
Practice address
6524 NW 197TH LN, HIALEAH, FL 33015-8119
(305) 624-1995
Mailing address
6524 NW 197TH LN, HIALEAH, FL 33015-8119
(305) 624-1995
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10500
FL
Other
Enumeration date
02/14/2009
Last updated
02/14/2009
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