Organization · NPI-2
1 Zource Living Care
Assisted Living Facility · North Miami Beach, FL
NPI number1033436951
StatusActive
Last updated in NPPESMay 3, 2010
Details
- NPI
- 1033436951
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Zource Living Care
- Organization subpart
- Yes
- Enumeration date
- May 3, 2010
- Last updated
- May 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
1401 Ne 176th StNorth Miami Beach, FL 33162-1363
Phone 954-826-7813 · Fax 305-945-4186
Mailing address
16808 Sw 39th StMiramar, FL 33027-4635
Phone 954-826-7813 · Fax 305-945-4186
Authorized official
Rogelio Malubay
Administrator / President
9548267813
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