Organization
SRA. CARIDAD RETIREMENT HOME CARE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADISBEL HERNANDEZ (ADMINISTRATOR)
(305) 220-7203
Entity
Organization
Contact information
Practice address
12620 SW 37TH TER, MIAMI, FL 33175-2954
(305) 220-7203
Mailing address
12620 SW 37TH TER, MIAMI, FL 33175-2954
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9377
FL
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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