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Organization

VIDA NUEVA #1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILDREY ROJAS (OWNER/ADMINISTRATOR)
(305) 758-1629
Entity
Organization

Contact information

Practice address
745 NW 102ND ST, MIAMI, FL 33150-1338
(305) 758-1629
Mailing address
745 NW 102ND ST, MIAMI, FL 33150-1338
(305) 758-1629

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10840
FL

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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