Organization
SAINT JOHNS ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAINE M DOMINGUEZ (OWNER)
(786) 218-5178
Entity
Organization
Contact information
Practice address
7580 SW 30TH TER, MIAMI, FL 33155-2750
(786) 360-2940
(786) 615-5676
Mailing address
7580 SW 30TH TER, MIAMI, FL 33155-2750
(786) 360-2940
(786) 615-5676
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL13562
AHCA
FL
Enumeration date
02/21/2021
Last updated
02/21/2021
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