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General NPI Number Information
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NPI Number | 1710146519
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Entity Type | Organization
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Legal Business Name | GARDEN HILLS RETIREMENT CENTER, INC
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 10337 SW 159TH CT
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City | MIAMI
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State | FL
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Zip | 33196-6143
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Country | US
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Telephone | 786-218-6803
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Fax | 305-382-8713
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Provider Business Mailing Address
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Address Line | 10337 SW 159TH CT
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City | MIAMI
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State | FL
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Zip | 33196-6143
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Country | US
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Telephone | 786-218-6803
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Fax | 305-382-8713
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DIANA CAROLINA LOPEZ
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Credential |
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Telephone | 786-218-6803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11134
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License Number State | FL
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