Organization
A PARADISE HOME ALF III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULMINE LOUIS (OWNER)
(786) 486-9869
Entity
Organization
Contact information
Practice address
733 S 11TH ST, LANTANA, FL 33462-4303
(786) 486-9869
(954) 580-7092
Mailing address
733 S 11TH ST, LANTANA, FL 33462-4303
(786) 486-9869
(954) 580-7092
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOOOOOOO
—
FL
Enumeration date
05/17/2018
Last updated
05/17/2018
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