OUR LADY OF LOURDES ALF INC
Nursing at 153 Ter, Miami, FL

License number
Florida AL10517
Category
Nursing
Type
Assisted Living Facility
Owner
Name: OMAIRA RODRIGUEZ
Title: PRESIDENT
Phone: (305) 255-6750
Address
Address
14491 SW 153Rd Ter, Miami, FL 33177
National Provider ID: 1023227121
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OUR LADY OF LOURDES ALF, INC

14491 SW 153 Ter, Miami, FL 33177

Status:
Inactive
Industry:
Religious Organization
Inactive reason:
CANCEL ADM DISS/REV
Registration:
May 11, 2004
Inactive since:
Feb 27, 2008
State ID:
P04000075658
Business type:
Florida Profit Corporation
President, Director:
Omaira Rodriguez (President, Director), 5994 SW 162 Pl, Miami, FL 33193 (Physical)
Agent:
Adolfo Iglesias,12060 SW 129 Ct SUITE # 104, Miami, FL 33186 (Physical)
EIN:
412136685

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