Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIMA HERRERA (OWNER)
(305) 207-4481
Entity
Organization
Contact information
Practice address
9270 SW 42ND TER, MIAMI, FL 33165-5209
(305) 207-4481
Mailing address
9270 SW 42ND TER, MIAMI, FL 33165-5209
(305) 207-4481
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9648
FL
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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