Organization
LOURDES RESIDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATANIA PEREZ (PRESIDENT)
(305) 265-0041
Entity
Organization
Contact information
Practice address
5770 SW 5TH TER, MIAMI, FL 33144-3906
(305) 265-0041
Mailing address
5770 SW 5TH TER, MIAMI, FL 33144-3906
(305) 265-0041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9483
FL
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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