Basic Information
| Provider Information | |||||||||
| NPI: | 1649699026 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LARKIN COMMUNITY HOSPITAL II, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5996 SW 70TH ST | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331433540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052847701 | ||||||||
| FaxNumber: | 3056753714 | ||||||||
| Practice Location | |||||||||
| Address1: | 17250 SW 137TH AVE | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331776405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052845701 | ||||||||
| FaxNumber: | 3056753714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2014 | ||||||||
| LastUpdateDate: | 04/14/2014 | ||||||||
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| AuthorizedOfficialLastName: | SOSA-GUERRERO | ||||||||
| AuthorizedOfficialFirstName: | SANDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3052847701 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | AL12489 | FL | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.