Vida Nueva #1

NPI 1801179403 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1801179403
Enumeration Date 09/21/2011
Last Updated 09/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MILDREY MILDREY
Position OWNER/ADMINISTRATOR
Phone (305) 758-1629
Fax
Practice Location
745 NW 102ND ST
MIAMI FL, 33150-1338, US
Phone (305) 758-1629
Fax
Business Location
745 NW 102ND ST
MIAMI FL, 33150-1338, US
Phone (305) 758-1629
Fax
Toxanomy
Taxonomy Code 3104A0625X
License State Florida
License Number AL10840
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According to our database, Vida Nueva #1 NPI is 1801179403, taxonomy code is 3104A0625X and license number is AL10840, license state is located at Florida. Vida Nueva #1 physically located at 745 Nw 102nd St, Miami FL, 33150-1338. NPI Number 1033115704 has the healthcare provider type.

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1801179403 NPI number is provided on an as is basis without warranty of any kind. 1801179403 is maintained by the National Plan & Provider Enumeration System. The contents of Vida Nueva #1 are for informational purposes only.