Organization
MI VIEJO SOLALF CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIBEL BREIJO (ADMINISTRATOR)
(305) 986-8104
Entity
Organization
Contact information
Practice address
4163 NE 16TH ST, HOMESTEAD, FL 33033-6050
(305) 224-4114
Mailing address
4163 NE 16TH ST, HOMESTEAD, FL 33033-6050
(305) 224-4114
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11191
FL
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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