Organization
BUENA VISTA ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY M RODRIGUEZ (OWNER)
(305) 815-2323
Entity
Organization
Contact information
Practice address
14532 SW 38TH LN, MIAMI, FL 33175
(305) 220-2740
(305) 220-2740
Mailing address
14532 SW 38TH LN, MIAMI, FL 33175
(305) 220-2740
(305) 220-2740
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10375
AHCA
FL
Enumeration date
03/27/2018
Last updated
09/14/2023
Update your record
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