Organization
ISA ADULT HOME CARE INC.
Active
Other names
Isa Adult Care
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA CHAVEZ DIAZ (OWNER)
(786) 257-9545
Entity
Organization
Contact information
Practice address
7020 S.W. 107 AVE, MIAMI, FL 33173
(305) 598-9610
(305) 598-9610
Mailing address
7020 S.W. 107 AVE, MIAMI, FL 33173
(305) 598-9610
(305) 598-9610
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140397400
—
FL
05
—
679429700
—
FL
Enumeration date
07/10/2007
Last updated
04/10/2019
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