Organization
LARGA VIDA ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO GIL (ADMINISTRATOR)
(786) 536-2896
Entity
Organization
Contact information
Practice address
6080 SW 38TH ST, MIAMI, FL 33155-5071
(786) 536-2896
Mailing address
6080 SW 38TH ST, MIAMI, FL 33155-5071
(786) 536-2896
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12047
FL
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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