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Organization

GENESIS ALF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAYANA DELGADO (OWNER)
(305) 713-0491
Entity
Organization

Contact information

Practice address
4183 E 8TH CT, HIALEAH, FL 33013-2401
(305) 953-4056
(786) 803-8455
Mailing address
4183 E 8TH CT, HIALEAH, FL 33013-2401
(305) 953-4056
(786) 803-8455

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9693
AHCA
FL
Enumeration date
03/08/2022
Last updated
03/08/2022
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