Organization
MI NUEVA VIDA ALF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK FERNANDEZ (OWNER)
(305) 525-8817
Entity
Organization
Contact information
Practice address
403 NORTHWEST BLVD, MIAMI, FL 33126-4166
(786) 313-3794
(786) 483-8978
Mailing address
403 NORTHWEST BLVD, MIAMI, FL 33126-4166
(786) 313-3794
(786) 483-8978
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
03/13/2023
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