NUEVO RENACER ALF,CORP.
Nursing in Miami, FL

License number
Florida AL10831
Category
Nursing
Type
Assisted Living Facility
Owner
Name: ILEANA GONZALEZ
Title: ADMINISTRATOR
Phone: (305) 681-3888
Address
Address
540 N. Perviz Ave, Miami, FL 33054
National Provider ID: 1689877508
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NUEVO RENACER ALF, CORP

540 N Perviz Ave, Opa Locka, FL 33054

Status:
Inactive
Industry:
Skilled Nursing Care Facility Nursing/Personal Care
Doing business as:
Nuevo Renacer ALF Corporation
Inactive reason:
AMENDMENT
Registration:
Nov 22, 2005
Inactive since:
Jul 24, 2014
Phone:
(305) 681-3888 (Phone)
State ID:
P05000155063
Business type:
Florida Profit Corporation
President, Directors:
Mariella Collado, 540 N Perviz Ave, Opa Locka, FL 33054 (Physical),Leovel Cancino (Treasurer, Vice President, Director), 540 N Perviz Ave, Opa Locka, FL 33054 (Physical),Mariela Collado (Director, President),...
Agent:
Cancino, Leovel,540 N Perviz Ave, Miami, FL 33185 (Physical)
EIN:
432092100

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