Organization
JOSE YOANDRY ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PENA (MANAGER)
(786) 303-8859
Entity
Organization
Contact information
Practice address
2916 NW 31ST ST, MIAMI, FL 33142-5844
(305) 635-9881
Mailing address
2916 NW 31ST ST, MIAMI, FL 33142-5844
(305) 635-9881
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002302200
—
FL
Enumeration date
12/09/2010
Last updated
12/09/2010
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