Organization
RODRIGUEZ ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR RODRIGUEZ (PRESIDENT)
(786) 298-0979
Entity
Organization
Contact information
Practice address
15139 SW 92ND TER, MIAMI, FL 33196-1346
(786) 298-0979
Mailing address
15139 SW 92ND TER, MIAMI, FL 33196-1346
(786) 298-0979
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11495
FL
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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