Organization
GRAND COURT LAKES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH GODINEZ (OWNER)
(305) 654-5300
Entity
Organization
Contact information
Practice address
280 SIERRA DR, MIAMI, FL 33179-3894
(305) 654-5300
Mailing address
280 SIERRA DR, MIAMI, FL 33179-3894
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8390
FL
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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