Organization
LEALTAD ADULT LIVING FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARA MARIA PEDRAZA (OWNER)
(305) 639-8118
Entity
Organization
Contact information
Practice address
12725 SW 32ND TER, 3056398118, MIAMI, FL 33175-2646
(305) 639-8118
Mailing address
12725 SW 32ND TER, 3056398118, MIAMI, FL 33175-2646
(305) 639-8118
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12527
FL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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