Organization
HIALEAH GARDENS ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO J MEDINA (ADMINISTRATOR)
(305) 698-6067
Entity
Organization
Contact information
Practice address
8905 NW 120TH TER, HIALEAH GARDENS, FL 33018-4166
(305) 698-6067
(305) 698-6945
Mailing address
8905 NW 120TH TER, HIALEAH GARDENS, FL 33018-4166
(305) 698-6067
(305) 698-6945
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143070000
—
FL
Enumeration date
07/22/2008
Last updated
07/22/2008
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