Organization
ABUELITOS' RESIDENCE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA LOPEZ (ADMINISTRATOR)
(305) 318-7093
Entity
Organization
Contact information
Practice address
7855 NW 185TH ST, HIALEAH, FL 33015-2719
(305) 558-6777
(305) 558-1117
Mailing address
7855 NW 185TH ST, HIALEAH, FL 33015-2719
(305) 558-6777
(305) 558-1117
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10068
FL
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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