Organization
LIFE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SINDY LEYRAS CASTRO (OWNER)
(786) 322-0603
Entity
Organization
Contact information
Practice address
13431 S.W. 178 ST., MIAMI, FL 33177
(305) 971-3628
(305) 602-3165
Mailing address
13431 S.W. 178 ST., MIAMI, FL 33177
(305) 971-3628
(305) 602-3165
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350200
—
FL
Enumeration date
07/17/2018
Last updated
12/20/2019
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