Organization
VP ELDERLY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO MARCOS AGUILERA (PRESIDENT)
(305) 362-4525
Entity
Organization
Contact information
Practice address
6690 W 14TH AVE, HIALEAH, FL 33012-6239
(305) 362-4524
(305) 882-7083
Mailing address
6690 W 14TH AVE, HIALEAH, FL 33012-6239
(305) 362-4524
(305) 882-7083
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL8519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL8519
ALF STANDARD LICENSE
FL
Enumeration date
04/21/2006
Last updated
07/21/2022
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