Organization
ST. JUDE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA MIRABENT (OWNER)
(786) 624-8102
Entity
Organization
Contact information
Practice address
13711 SW 105TH ST, MIAMI, FL 33186-3118
(786) 624-8102
(786) 502-8806
Mailing address
13711 SW 105TH ST, MIAMI, FL 33186-3118
(786) 624-8102
(786) 502-8806
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
07/12/2021
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