Organization
EVELYN'S PARADISE #1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN MARCIAL (ALF OWNER)
(786) 234-6619
Entity
Organization
Contact information
Practice address
11470 SW 80TH TER, MIAMI, FL 33173-3606
(786) 234-6619
Mailing address
11470 SW 80TH TER, MIAMI, FL 33173-3606
(786) 234-6619
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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