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Organization
MIRAMAR SENIOR LIVING IV, INC.
Active
Organization
MIRAMAR SENIOR LIVING IV, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT HERRYMAN (ADMINISTRATOR)
(305) 305-1275
Entity
Organization
Contact information
Practice address
14934 SW 32ND TER, MIAMI, FL 33185-3998
(305) 305-1275
Mailing address
14934 SW 32ND TER, MIAMI, FL 33185-3998
(305) 305-1275
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11034
FL
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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