Organization
GARDENIA HOME ALF,LLC
Active
Other names
Granny's Garden Home ALF, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE E RE (MANAGER/ADMINISTRATOR)
(786) 250-3345
Entity
Organization
Contact information
Practice address
12816 SW 67TH TER, MIAMI, FL 33183-1336
(786) 499-0265
Mailing address
12816 SW 67TH TER, MIAMI, FL 33183-1336
(786) 499-0265
(786) 250-3345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12558
FL
Other
Enumeration date
10/26/2014
Last updated
10/26/2014
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