Organization
BLESSED HOME ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISEL M LOPEZ (OWNER)
(305) 763-4259
Entity
Organization
Contact information
Practice address
12365 SW 42ND ST, MIAMI, FL 33175-3057
(305) 763-4259
(786) 431-1702
Mailing address
12365 SW 42ND ST, MIAMI, FL 33175-3057
(305) 763-4259
(786) 431-1702
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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