Organization
PARKLAKE SENIOR PALACE A.L.F.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO MARTINEZ (PRESIDENT)
(305) 480-6014
Entity
Organization
Contact information
Practice address
4229 SW 157TH CT, MIAMI, FL 33185-3800
(305) 480-6014
(305) 825-2242
Mailing address
4229 SW 157TH CT, MIAMI, FL 33185-3800
(305) 480-6014
(305) 825-2242
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9859
FL
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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