Organization
NUEVO RENACER ALF,CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA GONZALEZ (ADMINISTRATOR)
(305) 681-3888
Entity
Organization
Contact information
Practice address
540 N. PERVIZ AVENUE, OPA LOCKA, FL 33054
(305) 681-3888
(305) 681-7011
Mailing address
540 N. PERVIZ AVENUE, OPA LOCKA, FL 33054
(305) 681-3888
(305) 681-7011
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10831
FL
Other
Enumeration date
06/07/2007
Last updated
04/14/2008
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