Organization
JANICE MANNERS-NICHOLLS
Active
Other names
Annie C. Horne, Alf
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA VASQUEZ (MANAGER)
(786) 546-7568
Entity
Organization
Contact information
Practice address
17020 NW 47TH AVE, MIAMI GARDENS, FL 33055-4265
(305) 308-6966
Mailing address
17020 NW 47TH AVE, MIAMI GARDENS, FL 33055-4265
(305) 308-6966
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
10751
FL
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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