Organization
MANOS AMIGAS ALF INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD VERA (PRESIDENT)
(305) 207-3749
Entity
Organization
Contact information
Practice address
8510 SW 47TH ST, MIAMI, FL 33155-5409
(305) 207-3749
Mailing address
8510 SW 47TH ST, MIAMI, FL 33155-5409
(305) 207-3749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10678
FL
3104A0625X
Assisted Living Facility (Mental Illness)
10678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142435100
—
FL
Enumeration date
05/15/2007
Last updated
01/28/2012
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