Organization
BLACK CORAL GALLERY INC
Active
Other names
Black Coral Gallery INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO LOPEZ (OWNER)
(786) 371-4697
Entity
Organization
Contact information
Practice address
16267 SW 88TH ST, MIAMI, FL 33196-4912
(305) 386-8356
(305) 386-8357
Mailing address
16267 SW 88 ST, MIAMI, FL 33196
(305) 386-8356
(305) 386-8357
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
9152
FL
Other
Enumeration date
10/26/2010
Last updated
09/20/2022
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