Organization
STEVENS GRANDPARENTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZENEN A BERNAL (OWNER)
(786) 660-5448
Entity
Organization
Contact information
Practice address
10790 SW 43 TERR, MIAMI, FL 33165
(786) 773-5069
(786) 773-5069
Mailing address
10790 SW 43 TERR, MIAMI, FL 33165
(786) 773-5069
(786) 773-5069
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL13558
AHCA
FL
Enumeration date
02/27/2021
Last updated
02/27/2025
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