Organization · NPI-2

330 Assisted Living Corp

Assisted Living Facility · Miami, FL

NPI number1659708170
StatusActive
Last updated in NPPESSep 29, 2013

Details

NPI
1659708170
Entity type
Organization (NPI-2)
Legal business name
330 Assisted Living Corp
Organization subpart
No
Enumeration date
Sep 29, 2013
Last updated
Sep 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility8857FLYes

Practice location

330 Sw 22nd Rd
Miami, FL 33129-1912

Phone 305-285-0119

Mailing address

330 Sw 22nd Rd
Miami, FL 33129-1912

Phone 305-285-0119

Authorized official

Delia Ontivero
Owner
3052850119

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