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Organization
METAMORPHOSIS FOR LIFE, INC.
Active
Organization
METAMORPHOSIS FOR LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD H. COATS (GROUP HOME PROVIDER)
(305) 345-7833
Entity
Organization
Contact information
Practice address
3100 NW 170TH ST, MIAMI GARDENS, FL 33056-4328
(305) 310-8450
(305) 259-1543
Mailing address
17130 NW 32ND AVE, MIAMI GARDENS, FL 33056-4303
(305) 345-7833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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