Organization
DIOS DA EL MANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GONZALEZ (PREISDENT)
(786) 210-4938
Entity
Organization
Contact information
Practice address
9980 SW 1ST ST, MIAMI, FL 33174-1855
(786) 210-4938
(305) 226-3816
Mailing address
9980 SW 1ST ST, MIAMI, FL 33174-1855
(786) 210-4938
(305) 226-3816
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11460
FL
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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