10D2209524 CLIA NUMBER - EPWORTH VILLAGE RETIREMENT COMMUNITY

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Laboratory Demographics

CLIA Number: 10D2209524

Facility Name: EPWORTH VILLAGE RETIREMENT COMMUNITY

Facility Address:
MCCRAY BUILDING 5300 W 16TH AVE
HIALEAH, FL
ZIP 33012
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Facility Phone Number: (305) 556-3500

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1225450604

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D2209524
LAB Type	ASSISTED LIVING FACILITY
Facility Name	EPWORTH VILLAGE RETIREMENT COMMUNITY
Street	MCCRAY BUILDING 5300 W 16TH AVE
City	HIALEAH
State	FL
ZIP	33012
Phone	(305) 556-3500

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This page was last updated on: 5/11/2023