Organization
LA REINA ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSNIEL VERA (PRESIDENT)
(786) 282-7885
Entity
Organization
Contact information
Practice address
4501 NW 165TH ST, MIAMI GARDENS, FL 33054-6005
(786) 282-7885
Mailing address
4501 NW 165TH ST, MIAMI GARDENS, FL 33054-6005
(786) 282-7885
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-11480
FL
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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