Provider Demographics
NPI:1770835571
Name:HELEN M. SAWYER PLAZA
Entity Type:Organization
Organization Name:HELEN M. SAWYER PLAZA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING ALF ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANAELY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-545-3410
Mailing Address - Street 1:1150 NW 11TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2375
Mailing Address - Country:US
Mailing Address - Phone:305-545-3410
Mailing Address - Fax:305-326-1527
Practice Address - Street 1:1150 NW 11TH STREET RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2375
Practice Address - Country:US
Practice Address - Phone:305-545-3410
Practice Address - Fax:305-326-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9359310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility