Organization
MOM @ DAUGHTER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA D MIRANDA (OWNER AND ADMINISTRATOR)
(305) 915-6413
Entity
Organization
Contact information
Practice address
9640 SW 161ST PL, MIAMI, FL 33196-6622
(305) 915-6413
Mailing address
9640 SW 161ST PL, MIAMI, FL 33196-6622
(305) 915-6413
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143047500
—
FL
Enumeration date
06/02/2008
Last updated
06/02/2008
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