Organization
BRISA AZUL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE HERNANDEZ (OWNER)
(305) 258-8284
Entity
Organization
Contact information
Practice address
26770 SW 124 AVE, HOMESTEAD, FL 33032
(305) 258-8284
Mailing address
26770 SW 124 AVE, HOMESTEAD, FL 33032
(305) 258-8284
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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