Provider Demographics
NPI:1205196177
Name:VILLA ONI II INC
Entity Type:Organization
Organization Name:VILLA ONI II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YASMIL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:TROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-558-7758
Mailing Address - Street 1:5401 SW 98TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7246
Mailing Address - Country:US
Mailing Address - Phone:786-558-7758
Mailing Address - Fax:786-558-7758
Practice Address - Street 1:5401 SW 98TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7246
Practice Address - Country:US
Practice Address - Phone:786-558-7758
Practice Address - Fax:786-558-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL8883310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility