Organization · Type 2 NPI

Lago Place Inc

Assisted Living Facility · Miami, FL

NPI number 1053519231 Active

Practice location

10711 SW 52 Terrace
Miami, FL 33165-7037

Fax (786) 534-8402

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	AL9817 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1053519231
Entity type: Organization (Type 2)
Issued: Jul 10, 2007
Last updated: Feb 14, 2020
Status: Active

Other names

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Isabel Adult Care Inc · former legal business name
Isabel Adult Care Inc · former legal business name

Authorized official

Saray Diaz
Owner
(786) 314-0220

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053519231

Lago Place Inc's National Provider Identifier is 1053519231, issued on Jul 10, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Miami, FL. The record was last updated on Feb 14, 2020.