Odalys Home

NPI 1245620715 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1245620715
Enumeration Date 02/04/2015
Last Updated 02/04/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ODALYS ODALYS
Position OWNER
Phone (786) 295-6933
Fax
Practice Location
4342 SW 129TH AVE
MIAMI FL, 33175-4020, US
Phone (786) 295-6933
Fax
Business Location
4342 SW 129TH AVE
MIAMI FL, 33175-4020, US
Phone (786) 295-6933
Fax
Toxanomy
Taxonomy Code 3104A0625X
License State Florida
License Number AL12611
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According to our database, Odalys Home NPI is 1245620715, taxonomy code is 3104A0625X and license number is AL12611, license state is located at Florida. Odalys Home physically located at 4342 Sw 129th Ave, Miami FL, 33175-4020. NPI Number 1033115704 has the healthcare provider type.

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1245620715 NPI number is provided on an as is basis without warranty of any kind. 1245620715 is maintained by the National Plan & Provider Enumeration System. The contents of Odalys Home are for informational purposes only.