Organization
PARADISE RETIREMENT CLUB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRVIN E ANDUJAR (ADMINISTRATOR)
(305) 264-2051
Entity
Organization
Contact information
Practice address
21 SW 75TH AVE, MIAMI, FL 33144-2417
(305) 264-2051
Mailing address
21 SW 75TH AVE, MIAMI, FL 33144-2417
(305) 264-2051
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140728700
—
FL
Enumeration date
10/07/2010
Last updated
10/07/2010
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