VICKY'S HOME ALF
Nursing at 41 St, Miami, FL

License number
Florida AL11137
Category
Nursing
Type
Assisted Living Facility
Owner
Name: ILEANA MARIN
Title: PRESIDENT
Phone: (305) 662-4815
Address
Address
6402 SW 41St St, Miami, FL 33155
National Provider ID: 1710138946
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VICKY'S HOME ALF at bizstanding.com

VICKY'S HOME ALF., CORPORATION

Miami, FL

Status:
Inactive
Industry:
Residential Care Services
Inactive reason:
AMENDMENT
Registration:
Oct 18, 2004
Inactive since:
Jan 23, 2014
Addresses:
6402 SW 41, Miami, FL 33155 (Physical)
6402 SW 41 St, Miami, FL 33155
State ID:
P04000143618
Business type:
Florida Profit Corporation
Presidents:
Ileana M Marin (President), 6402 SW 41, Miami, FL 33155 (Physical),Juan Carlos Riverol (Secretary), 6402 SW 41, Miami, FL 33155 (Physical),Pastor Fuster President, inactive
Agent:
Koss, A., Esq,782 NW 42 Ave SUITE 448, Miami, FL 33126 (Physical)
EIN:
522449479
Categories:
Residential Care Facilities
Products:
Geriatric Services, Social Services

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