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Organization

LIVEWELL OPERATIONS II INC

Active
Other names
LIVEWELL AT COURTYARD PLAZA
Organization subpart
No

Provider details

NPI number
Authorized official
YANIR SHMARYOU (PRESIDENT)
(305) 949-2626
Entity
Organization

Contact information

Practice address
15520 NW 2ND AVE, MIAMI, FL 33169-6710
(305) 949-2626
Mailing address
15520 NW 2ND AVE, MIAMI, FL 33169-6710
(305) 949-2626

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AL7169
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008585300
FL
Enumeration date
02/03/2014
Last updated
02/03/2014
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