Organization
NEW GREENVIEW II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C RIVEROL (ADMINISTRATION)
(305) 225-7119
Entity
Organization
Contact information
Practice address
2650 NW 15TH AVE, MIAMI, FL 33142-7652
(305) 225-7119
(305) 225-1289
Mailing address
2650 NW 15TH AVE, MIAMI, FL 33142-7652
(305) 225-7119
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11804
FL
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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