Organization
PARADISE A.L.F. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMERITA SANTAMARIA OWNER (ADMINISTRATOR)
(786) 290-1032
Entity
Organization
Contact information
Practice address
16427 SW 52ND ST, MIAMI, FL 33185-5167
(786) 290-1032
Mailing address
16427 SW 52ND ST, MIAMI, FL 33185-5167
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-11721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLY FOR
—
FL
Enumeration date
02/03/2010
Last updated
02/03/2010
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