Organization
E & A PARADISE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE GOMEZ (OWNER)
(305) 761-2194
Entity
Organization
Contact information
Practice address
5925 SW 117TH AVE, MIAMI, FL 33183-1709
(305) 761-2194
(305) 225-0126
Mailing address
5925 SW 117TH AVE, MIAMI, FL 33183-1709
(305) 761-2194
(305) 225-0126
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10185
FL
Other
Enumeration date
04/01/2008
Last updated
03/25/2015
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