Organization
SAN LAZARO ALF CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUALTER COK (OWNER)
(786) 357-3573
Entity
Organization
Contact information
Practice address
1984 NW 22ND PL, MIAMI, FL 33125-1314
(786) 357-3573
Mailing address
1984 NW 22ND PL, MIAMI, FL 33125-1314
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8671
FL
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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