Organization
DOROTHEA WONDERFUL PALACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHEA LAUGHTER (ADMINISTRATOR)
(863) 513-4843
Entity
Organization
Contact information
Practice address
19210 NW 35TH AVE, MIAMI GARDENS, FL 33056-2208
(863) 513-4843
Mailing address
19210 NW 35TH AVE, MIAMI GARDENS, FL 33056-2208
(863) 513-4843
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12679
FL
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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