Organization
HOGAR LA 3RD EDAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GONZALEZ (OWNER)
(305) 226-0683
Entity
Organization
Contact information
Practice address
2940 SW 114TH AVE, MIAMI, FL 33165-2112
(305) 226-0683
(305) 225-1289
Mailing address
2940 SW 114TH AVE, MIAMI, FL 33165-2112
(305) 226-0683
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10418
FL
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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