Organization
ALF MI SEVILLA HOME CARE CORP
Active
Other names
Mi Sevilla Home Care Corp
Organization subpart
No
Provider details
NPI number
Authorized official
LIUBA MEDINA (PRESIDENT)
(786) 546-5504
Entity
Organization
Contact information
Practice address
8331 SW 27 ST, MIAMI, FL 33155
(305) 226-2700
(305) 226-2700
Mailing address
8331 SW 27 ST, MIAMI, FL 33155
(305) 226-2700
(305) 226-2700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL10660
FL
310400000X
Assisted Living Facility
Primary
FL10660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142672900
—
FL
Enumeration date
05/22/2007
Last updated
07/25/2008
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