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Organization

MY KIND HOME ALF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYREN SARDINAS (ADMINISTRATOR)
(786) 348-9405
Entity
Organization

Contact information

Practice address
1846 SW 22ND TER, MIAMI, FL 33145-3822
(786) 348-9405
(305) 828-1511
Mailing address
1846 SW 22ND TER, MIAMI, FL 33145-3822
(786) 348-9405
(305) 828-1511

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10486
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143041600
FL
Enumeration date
07/30/2008
Last updated
07/30/2008
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