Organization
ALDARA HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIMI ALVAREZ (ADM)
(305) 225-7119
Entity
Organization
Contact information
Practice address
12810 SW 18TH ST, MIAMI, FL 33175-1233
(305) 225-7119
Mailing address
12810 SW 18TH ST, MIAMI, FL 33175-1233
(305) 225-7119
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001051900
—
FL
Enumeration date
07/05/2011
Last updated
07/05/2011
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