Organization
EDAD DE ORO SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO LEON (ADMINISTRATOR)
(305) 807-7547
Entity
Organization
Contact information
Practice address
17891 SW 152ND CT, MIAMI, FL 33187-7771
(305) 807-7547
(305) 225-1289
Mailing address
17891 SW 152ND CT, MIAMI, FL 33187-7771
(305) 807-7547
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 10928
FL
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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