Organization
EXCELLENT GRANDPARENT PLACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANY CAPOTE (OWNER)
(305) 227-0129
Entity
Organization
Contact information
Practice address
13342 SW 6TH ST, MIAMI, FL 33184-1144
(305) 227-0129
Mailing address
13342 SW 6TH ST, MIAMI, FL 33184-1144
(305) 227-0129
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11639
FL
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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