Organization
IDALMIS RESIDENCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GONZALEZ (OWNER)
(305) 587-8650
Entity
Organization
Contact information
Practice address
3530 SW 12TH ST, MIAMI, FL 33135
(305) 446-5720
Mailing address
3530 SW 12TH ST, MIAMI, FL 33135
(305) 446-5720
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 11187
FL
Other
Enumeration date
07/04/2008
Last updated
06/05/2023
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