Provider Demographics
NPI:1710146519
Name:GARDEN HILLS RETIREMENT CENTER,INC
Entity Type:Organization
Organization Name:GARDEN HILLS RETIREMENT CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZET
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-510-2004
Mailing Address - Street 1:10337 SW 159TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-6143
Mailing Address - Country:US
Mailing Address - Phone:305-510-2004
Mailing Address - Fax:305-382-8712
Practice Address - Street 1:10337 SW 159TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-6143
Practice Address - Country:US
Practice Address - Phone:305-510-2004
Practice Address - Fax:305-382-8712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11134310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility