Provider Demographics
NPI:1326872367
Name:SALMOS 23 NO. 8, LLC
Entity type:Organization
Organization Name:SALMOS 23 NO. 8, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ODELMYS
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-484-1960
Mailing Address - Street 1:2801 NW 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-2509
Mailing Address - Country:US
Mailing Address - Phone:954-484-1960
Mailing Address - Fax:954-533-8668
Practice Address - Street 1:2801 NW 55TH AVE
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-2509
Practice Address - Country:US
Practice Address - Phone:954-484-1960
Practice Address - Fax:954-533-8668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7249OtherAHCA