| Transaction Details | |
|---|---|
| Report Year: | 2023 |
| Report Type: | M3 |
| Date: | 3/6/2023 |
| Amount: | $900.00 |
| Contributor: | LA EDAD PRODIGIOSA |
| Address: | 18900 SW 106 AVE STE 101-102 |
| City: | MIAMI |
| State: | FL |
| Zip: | 33157 |
| Occupation/Business Type: | ASSISTED LIVING FACILITY |
| Type: | CHE |
| Inkind Description: | |
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