Organization
SANTA CLARA ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE BATLE (OWNER & ADMINISTRATOR)
(305) 216-2638
Entity
Organization
Contact information
Practice address
2830 SW 106TH AVE, MIAMI, FL 33165-2748
(305) 221-9955
(786) 513-5928
Mailing address
6120 NW 2ND ST, MIAMI, FL 33126-4604
(786) 513-5928
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142293600
—
FL
Enumeration date
01/03/2007
Last updated
03/21/2012
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