Organization
RESIDENTIAL PLAZA AT BLUE LAGOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GALINDO (ADMINISTRATOR)
(305) 267-2700
Entity
Organization
Contact information
Practice address
5617 NW 7TH ST, MIAMI, FL 33126-3216
(305) 267-2700
(305) 267-2708
Mailing address
5617 NW 7TH ST, MIAMI, FL 33126-3216
(305) 267-2700
(305) 267-2708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140772400
—
FL
05
—
676874100
—
FL
Enumeration date
10/24/2011
Last updated
10/24/2011
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