Organization
AMISTAD 308 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA PERDOMO (PRESIDENT)
(786) 942-3537
Entity
Organization
Contact information
Practice address
8420 SW 2ND STREET, MIAMI, FL 33144-2006
(786) 942-3537
(305) 514-9161
Mailing address
8420 SW 2ND STREET, MIAMI, FL 33144-2006
(786) 942-3537
(305) 514-9161
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142932900
—
FL
Enumeration date
09/25/2007
Last updated
08/15/2025
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