Organization
LAOS GROUP HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELDA ISERN (PRESIDENT)
(786) 477-2935
Entity
Organization
Contact information
Practice address
1443 SW 146TH CT, MIAMI, FL 33184-3260
(786) 477-2935
Mailing address
1443 SW 146TH CT, MIAMI, FL 33184-3260
(786) 477-2935
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12717
FL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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