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NEW LIFE REHAB & WELLNESS CENTER, LLC

Company Details

Entity Name: NEW LIFE REHAB & WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Apr 2024 (10 months ago)
Document Number: L24000169768
Address: 3750 WEST 16TH AVE UNIT 140U, HIALEAH, FL 33012
Mail Address: 8945 NW 171ST LN, MIAMI LAKES, FL 33018 FL
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346076270 2024-09-09 2024-09-09 3750 W 16TH AVE STE 104U, HIALEAH, FL, 330124645, US 3750 W 16TH AVE STE 104U, HIALEAH, FL, 330124645, US

Contacts

Phone +1 786-703-9167

Authorized person

Name DIANA HERNANDEZ
Role OWNER
Phone 7867039167

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
HERNANDEZ, DIANA Agent 8945 NW 171ST LN, MIAMI LAKES, FL 33018

Manager

Name Role Address
HERNANDEZ, DIANA Manager 3750 WEST 16TH AVE, HIALEAH, FL 33012 UN

Documents

Name Date
Florida Limited Liability 2024-04-10

Date of last update: 08 Feb 2025

Sources: Florida Department of State