Organization
ASSISTED LOVING FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RAMIREZ (ADMINISTRATOR)
(305) 710-8790
Entity
Organization
Contact information
Practice address
15700 SW 102ND AVE, MIAMI, FL 33157-1655
(305) 710-8790
(305) 225-1289
Mailing address
15700 SW 102ND AVE, MIAMI, FL 33157-1655
(305) 710-8790
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11065
FL
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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