Organization
SRA CARIDAD RETIREMENT HOME I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADISBEL HERNANDEZ (ADMINISTRATOR)
(786) 488-3973
Entity
Organization
Contact information
Practice address
10840 NW 1ST LN, MIAMI, FL 33172-5201
(786) 488-3973
Mailing address
10840 NW 1ST LN, MIAMI, FL 33172-5201
(786) 488-3973
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11385
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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