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Organization

IVEHOME II ALF INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENE ASPACIO LOCHE (ADMINISTRATOR)
(786) 501-4311
Entity
Organization

Contact information

Practice address
22636 SW 125TH AVE, MIAMI, FL 33170-6318
(786) 501-4311
(305) 278-8080
Mailing address
22636 SW 125TH AVE, MIAMI, FL 33170-6318
(786) 501-4311
(305) 278-8080

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL10826
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142588900
FL
Enumeration date
01/17/2014
Last updated
01/17/2014
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