Organization
SOL NACIENTE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO PEDROL (OWNER)
(305) 979-6296
Entity
Organization
Contact information
Practice address
9010 SW 17TH TER, MIAMI, FL 33165-7822
(305) 226-4017
(305) 226-4017
Mailing address
9010 SW 17TH TER, MIAMI, FL 33165-7822
(305) 226-4017
(305) 226-4017
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12138
AHCA
FL
Enumeration date
11/04/2020
Last updated
08/29/2022
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