Organization
PALM GARDEN INC/DBANEWHORIZONMANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ALVAREZ (ADMINISTRATOR OWNER)
(305) 970-8812
Entity
Organization
Contact information
Practice address
6245 W 12TH AVE, HIALEAH, FL 33012-6411
(305) 970-8812
(305) 825-5007
Mailing address
7968 W 14TH CT, HIALEAH, FL 33014-3322
(305) 970-8812
(305) 825-5007
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447412267
—
FL
Enumeration date
01/02/2014
Last updated
01/02/2014
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