Organization
LA ESTACION DORADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELSA ALVAREZ (ADMINISTRATOR)
(305) 710-4543
Entity
Organization
Contact information
Practice address
1230 SW 94TH AVE, MIAMI, FL 33174-3046
(305) 710-4543
Mailing address
1230 SW 94TH AVE, MIAMI, FL 33174-3046
(305) 710-4543
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11627
FL
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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