Organization Name: | ISELA LOCHE |
NPI Number: | 1053529248 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ISELA LOPEZ LOCHE (OWNER) |
Mailing Address: | 20020 Sw 113th Pl Miami |
State: | FL US |
Postal Code: | 331891160 |
Phone Number: | 3052557934 |
Fax Number: | 3052788080 |
NPI Enumeration Date: | 05/19/2007 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 06/03/2008 |
NPI Reactivation Date: | 06/18/2008 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL7483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy 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. |