Organization
ANGELES RESIDENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO FRANK ROCHA CRUZ (PRESIDENT)
(786) 597-4518
Entity
Organization
Contact information
Practice address
6341 PALM AVENUE, HIALEAH, FL 33012-2684
(305) 825-0262
(305) 500-7014
Mailing address
6341 PALM AVENUE, HIALEAH, FL 33012-2684
(305) 825-0262
(305) 500-7014
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008110500
—
FL
05
—
140107600
—
FL
05
—
682061100
—
FL
Enumeration date
01/29/2008
Last updated
01/10/2025
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