Organization
FOUR SEASONS ELDER CARE ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PEREZ (PRESIDENT)
(786) 877-2745
Entity
Organization
Contact information
Practice address
6625 MIAMI LAKEWAY SOUTH, MIAMI LAKES, FL 33014-2748
(786) 877-2745
(305) 397-1912
Mailing address
6625 MIAMI LAKEWAY SOUTH, MIAMI LAKES, FL 33014-2748
(786) 877-2745
(305) 397-1912
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002796000
—
FL
Enumeration date
07/15/2010
Last updated
02/12/2020
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