Organization
PALM GARDEN II, INC.
Active
Other names
Palm Garden VI
Organization subpart
No
Provider details
NPI number
Authorized official
AYLEN OLIVIA GONZALEZ (PRESIDENT)
(786) 537-9495
Entity
Organization
Contact information
Practice address
1214 W 78TH TER, HIALEAH, FL 33014-3442
(786) 537-9495
(305) 826-9865
Mailing address
1214 W 78TH TER, HIALEAH, FL 33014-3442
(786) 537-9495
(305) 826-9865
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL8598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103494000
—
FL
Enumeration date
08/19/2008
Last updated
03/30/2021
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