Pavilion Gardens LLC

NPI #1043412430 in Hialeah, Florida

Provider Information

NPI Number: 1043412430
Entity Type: Organization
Organization Name: Pavilion Gardens LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jun 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 71 W 30TH ST
City: Hialeah
State: Florida
ZIP Code: 33012-5412
Phone: (305) 884-5613

Authorized Official

Name: MR. ARMANDO GODINEZ
Title: ADMINISTRATOR
Phone: (305) 884-5613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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