Colonial Dr Senior Residence in Miami - Assisted Living Facility

Colonial Dr Senior Residence - NPI 1902014756

Colonial Dr Senior Residence is a Assisted Living Facility in Miami, Florida. Colonial Dr Senior Residence practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Colonial Dr Senior Residence is 1902014756. The last update date is 2020-08-22.

Colonial Dr Senior Residence's current location address is 10220 Sw 164th St, Miami, Florida. You can contact this provider via phone number 3055549345 and fax number 3052251289. The mailing address for Colonial Dr Senior Residence is 10220 Sw 164th St, Miami, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Colonial Dr Senior Residence
Address 10220 Sw 164th St, Miami, Florida
Phone Number 3055549345
Fax Number 3052251289
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Govea Odalys
Telephone Number 3055549345

NPI Number Detail

NPI Number 1902014756
Provider Enumeration Date 2007-05-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 10220 Sw 164th St
City Miami
State Florida (FL)
Post Code 331573167
Phone Number 3055549345
Fax Number 3052251289

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No AL 9970
Definition:
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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FAQs about Colonial Dr Senior Residence

What is the unique identification code assigned to Colonial Dr Senior Residence by the Centers for Medicare & Medicaid Services?

The Colonial Dr Senior Residence has been issued the NPI (National Provider Identifier) 1902014756. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Colonial Dr Senior Residence is physically located?

The Colonial Dr Senior Residence is situated at the following address: 10220 Sw 164Th St, Miami, FL 331573167.

What is Colonial Dr Senior Residence's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Colonial Dr Senior Residence is Assisted Living Facility, and the corresponding taxonomy classification code for this specialized field is 310400000X.

When was the Colonial Dr Senior Residence's 1902014756 issued?

The Colonial Dr Senior Residence's 1902014756 was issued on 2007-05-17.

As of what date was the information pertaining to Colonial Dr Senior Residence, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Colonial Dr Senior Residence, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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