VARADERO RETIREMENT HOME CARE, INC
Nursing at 23 Ln, Miami, FL

License number
Florida AL11101
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. PEDRO LUIS GONZALEZ SR.
Title: PRESIDENT
Phone: (305) 812-8182
Address
Address
15359 SW 23Rd Ln, Miami, FL 33185
National Provider ID: 1447420658
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VARADERO RETIREMENT HOME CARE, INC

15359 SW 23 Ln, Miami, FL 33185

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Feb 21, 2007
Inactive since:
Mar 28, 2007
State ID:
P07000023640
Business type:
Florida Profit Corporation
President:
Pedro L Gonzalez (President), 15359 SW 23 Ln, Miami, FL 33185 (Physical)
Agent:
Pedro Gonzalez,15359 SW 23 Ln, Miami, FL 33185 (Physical)
EIN:
208510069

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