Organization
A-1 ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS A MARTINEZ (ADMINISTRATOR)
(305) 283-2471
Entity
Organization
Contact information
Practice address
9410 SW 52ND TER, MIAMI, FL 33165-6408
(305) 283-2471
Mailing address
9410 SW 52ND TER, MIAMI, FL 33165-6408
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11228
FL
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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