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General NPI Number Information
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NPI Number | 1811517790
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Entity Type | Organization
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Legal Business Name | LOLITA 2 HOME CARE ALF, CORP.
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 13431 SW 178TH ST
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City | MIAMI
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State | FL
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Zip | 33177-7101
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Country | US
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Telephone | 305-964-5133
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Fax | 305-964-5133
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Provider Business Mailing Address
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Address Line | 13431 SW 178TH ST
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City | MIAMI
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State | FL
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Zip | 33177-7101
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Country | US
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Telephone | 305-964-5133
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Fax | 305-964-5133
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Authorized Official
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Title or Position | OWNER/ADMIN.
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Name | LYHA MORALES
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Credential |
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Telephone | 786-329-2319
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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 |
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License Number State |
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