Organization
MI RENACER ALF, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MARTINEZ (PRESIDENT)
(305) 247-6460
Entity
Organization
Contact information
Practice address
1305 SE 7TH ST, HOMESTEAD, FL 33033-5084
(305) 247-6460
Mailing address
1305 SE 7TH ST, HOMESTEAD, FL 33033-5084
(305) 247-6460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142805500
—
FL
Enumeration date
09/11/2007
Last updated
01/28/2012
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