Organization
MARLA GROVE ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIEL REYES (ADMINISTRATOR)
(786) 344-9220
Entity
Organization
Contact information
Practice address
3705 SW 1ST AVE, MIAMI, FL 33145-3909
(786) 344-9220
Mailing address
3705 SW 1ST AVE, MIAMI, FL 33145-3909
(786) 344-9220
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12009
FL
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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