Organization
KENDALL HAVEN ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMYS GONZALEZ (OWNER/ADMIN.)
(305) 546-3036
Entity
Organization
Contact information
Practice address
13258 SW 62ND TER, MIAMI, FL 33183-5651
(305) 546-3036
(786) 353-9149
Mailing address
13258 SW 62ND TER, MIAMI, FL 33183-5651
(305) 546-3036
(786) 353-9149
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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