Organization
MARCIA ADULT CARE #1, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIURKA PRADO (ALF ADMINISTRATOR)
(305) 485-0478
Entity
Organization
Contact information
Practice address
5143 SW 157TH CT, MIAMI, FL 33185-5017
(305) 951-4910
Mailing address
5143 SW 157TH CT, MIAMI, FL 33185-5017
(305) 951-4910
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142335500
—
FL
Enumeration date
06/17/2008
Last updated
06/17/2008
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