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Organization

DADE COUNTY ADULT LIVING FACILITY GROUP ,CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEFA LAGUERUELA (PRESIDENT)
(305) 761-7623
Entity
Organization

Contact information

Practice address
15135 SW 128TH CT, MIAMI, FL 33186-6372
(305) 761-7623
(305) 761-7623
Mailing address
15135 SW 128TH CT, MIAMI, FL 33186-6372
(305) 761-7623
(305) 761-7623

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11497
FL

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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