ENDLESS YEARS ADULT CARE CENTER
Managed Care Organizations in Miami, FL

License number
Florida 9224
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MARLENE LAGE
Title: OWNER/DIRECTOR
Phone: (305) 558-8740
Address
Address 2
5931 NW 173 Dr. UNIT 11, Miami, FL 33015
5931 NW 173Rd Dr UNIT 11, Hialeah, FL 33015
National Provider ID: 1164762795
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENDLESS YEARS ADULT CARE CENTER, CORP

Hialeah, FL

Registration:
Aug 31, 2012
Addresses:
5931 NW 173 Dr UNIT #11, Hialeah, FL 33015 (Physical)
8004 NW 154 UNIT #11SUITE 108, Hialeah, FL 33016 (Mailing)
State ID:
P12000074732
Business type:
Florida Profit Corporation
Marlene Lage, 5931 NW 173 Dr, Hialeah, FL 33015 (Physical)
FEI/EIN:
46-0929816

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