Organization
GOLDEN AGE ASSISTED LIVING FACILITY IV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAIDA LIS TORRES (OWNER)
(786) 447-6491
Entity
Organization
Contact information
Practice address
7450 W 14TH CT, HIALEAH, FL 33014-3414
(786) 360-3661
(786) 360-3661
Mailing address
7450 W 14TH CT, HIALEAH, FL 33014-3414
(786) 360-3661
(786) 360-3661
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8126
FL
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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