Organization
SOUTH FLORIDIAN VILLAGE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN LOPEZ HERNANDEZ (OWNER)
(786) 478-9665
Entity
Organization
Contact information
Practice address
9220 SW 45TH TERRACE, MIAMI, FL 33165
(786) 636-8174
(786) 409-4955
Mailing address
9220 SW 45TH TERRACE, MIAMI, FL 33165
(786) 636-8174
(786) 409-4955
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142796200
—
FL
Enumeration date
01/22/2008
Last updated
08/08/2025
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