Organization
PARADISE VILLA ALF INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYTE VAZQUEZ (ADMINISTRATOR)
(305) 971-6477
Entity
Organization
Contact information
Practice address
21164 SW 92ND PL, CUTLER BAY, FL 33189-2459
(305) 971-6477
Mailing address
21164 SW 92ND PL, CUTLER BAY, FL 33189-2459
(305) 971-6477
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11830
FL
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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