Organization
MENIQUE, INC. GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA E GALINDO MSED., MA (OWNER/OPERATOR)
(305) 331-5070
Entity
Organization
Contact information
Practice address
15990 SW 110TH ST, MIAMI, FL 33196-3680
(305) 386-2649
(305) 386-2649
Mailing address
15990 SW 110TH ST, MIAMI, FL 33196-3680
(305) 386-2649
(305) 386-2649
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/19/2008
Last updated
01/19/2008
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