Organization
PALMETTO LIVING FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN BOUZA I (OWNER ADMINISTRATOR)
(305) 300-6930
Entity
Organization
Contact information
Practice address
16350 N. W. 88 PATH, MIAMI LAKES, FL 33018
(305) 300-6930
(305) 816-9996
Mailing address
16350 N. W. 88 PATH, MIAMI LAKES, FL 33018
(305) 300-6930
(305) 816-9996
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10508
FL
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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