Organization
ASSISTED HOME LIVING #4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN C RAMOS (PRESIDENT)
(305) 218-0000
Entity
Organization
Contact information
Practice address
316 SW 18 TERR, MIAMI, FL 33129
(305) 218-0000
Mailing address
6776 SW 64TH ST, SOUTH MIAMI, FL 33143-3102
(305) 218-0000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10564
FL
Other
Enumeration date
05/31/2007
Last updated
09/18/2008
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