Organization
CORAL VILLA II CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS VALDEZ (OWNER)
(786) 972-5612
Entity
Organization
Contact information
Practice address
14213 SW 100TH LN, MIAMI, FL 33186-6960
(305) 380-8084
(305) 252-1699
Mailing address
14213 SW 100TH LN, MIAMI, FL 33186-6960
(305) 380-8084
(305) 252-1699
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142178600
—
FL
Enumeration date
05/24/2007
Last updated
03/15/2023
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