Organization
ABUELITAS HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YILLIAM MORENO (ADMINISTRATOR)
(786) 229-3431
Entity
Organization
Contact information
Practice address
15257 SW 61ST ST, MIAMI, FL 33193-2559
(786) 229-3431
(305) 223-1618
Mailing address
15257 SW 61ST ST, MIAMI, FL 33193-2559
(786) 229-3431
(305) 223-1618
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10139
FL
Other
Enumeration date
06/19/2007
Last updated
07/07/2008
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