Organization
PIONEER ADULT FACILITY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA LEYVA (ADMINISTRATOR)
(305) 725-8337
Entity
Organization
Contact information
Practice address
2166 SW 14TH TER, MIAMI, FL 33145-1312
(305) 856-5103
(305) 856-5104
Mailing address
2166 SW 14TH TER, MIAMI, FL 33145-1312
(305) 856-5103
(305) 856-5104
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL3868
FL
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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