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Organization

MARY'S HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEDEIDY PEREZ (OWNER)
(786) 715-1896
Entity
Organization

Contact information

Practice address
14158 NW 88 PLACE, MIAMI LAKES, FL 33018
(786) 401-6639
(786) 400-8606
Mailing address
14158 NW 88 PLACE, MIAMI LAKES, FL 33018
(786) 401-6639
(786) 400-8606

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10073
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141203500
FL
Enumeration date
07/18/2007
Last updated
11/08/2024
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