Organization
MOTHER GOLDEN YEARS III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA MARTINEZ (ADMINISTRATOR)
(305) 225-7119
Entity
Organization
Contact information
Practice address
13621 SW 281ST TER, HOMESTEAD, FL 33033-1931
(305) 225-1289
(305) 225-1289
Mailing address
13621 SW 281ST TER, HOMESTEAD, FL 33033-1931
(305) 225-1289
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11055
FL
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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