Organization
ROYAL GREEN ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK BERMUDEZ (ADMINISTRATOR)
(305) 643-9786
Entity
Organization
Contact information
Practice address
2011 SW 4TH ST, MIAMI, FL 33135-1811
(305) 643-9786
(305) 225-1289
Mailing address
2011 SW 4TH ST, MIAMI, FL 33135-1811
(305) 643-9786
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 10020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140946800
—
FL
Enumeration date
05/23/2007
Last updated
08/04/2014
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