Organization
LA EXCELENCIA ALF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS A VARGAS (PRESIDENT)
(786) 514-5734
Entity
Organization
Contact information
Practice address
16400 NW 82ND CT, MIAMI LAKES, FL 33016-3474
(786) 402-1280
(305) 362-1920
Mailing address
16400 NW 82ND CT, MIAMI LAKES, FL 33016-3474
(786) 402-1280
(305) 362-1920
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11462
FL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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