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Organization

LONE STAR ADULT DAY TRAINING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORGE DOMINGUEZ (OPERATOR)
(305) 849-5777
Entity
Organization

Contact information

Practice address
2150 CORAL WAY, 2ND FLOOR, CORAL GABLES, FL 33145-2629
(305) 849-5777
(305) 860-1151
Mailing address
2150 CORAL WAY, 2ND FLOOR, CORAL GABLES, FL 33145-2629
(305) 849-5777
(305) 860-1151

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FL

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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