Organization
ISELA LOCHE
Active
Other names
IVE HOME A L F
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISELA LOPEZ LOCHE (OWNER)
(305) 255-7934
Entity
Organization
Contact information
Practice address
20020 SW 113TH PL, MIAMI, FL 33189-1160
(305) 255-7934
(305) 278-8080
Mailing address
20020 SW 113TH PL, MIAMI, FL 33189-1160
(305) 255-7934
(305) 278-8080
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL7483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140543800
—
FL
05
—
678002400
—
FL
Enumeration date
01/24/2014
Last updated
01/24/2014
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