Organization
LAS PALMAS ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMERITA SANTAMARIA (ADMINISTRATOR)
(305) 586-8786
Entity
Organization
Contact information
Practice address
4495 NW 185TH ST, MIAMI GARDENS, FL 33055-3079
(305) 586-8786
Mailing address
4495 NW 185TH ST, MIAMI GARDENS, FL 33055-3079
(305) 586-8786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001429500
—
FL
Enumeration date
01/12/2010
Last updated
01/12/2010
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