Residencia Ilenia, Inc.

NPI 1114152923 - Assisted Living Facility - 310400000X

NPI Details
NPI 1114152923
Enumeration Date 05/22/2009
Last Updated 05/22/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MAXIMO MAXIMO
Position VICE PRESIDENT
Phone (305) 642-5407
Fax
Practice Location
475 SW 25TH AVE
MIAMI FL, 33135-2922, US
Phone (305) 642-5407
Fax
Business Location
475 SW 25TH AVE
MIAMI FL, 33135-2922, US
Phone (305) 642-5407
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL11469
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According to our database, Residencia Ilenia, Inc. NPI is 1114152923, taxonomy code is 310400000X and license number is AL11469, license state is located at Florida. Residencia Ilenia, Inc. physically located at 475 Sw 25th Ave, Miami FL, 33135-2922. NPI Number 1033115704 has the healthcare provider type.

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1114152923 NPI number is provided on an as is basis without warranty of any kind. 1114152923 is maintained by the National Plan & Provider Enumeration System. The contents of Residencia Ilenia, Inc. are for informational purposes only.