Organization
MILLER DRIVE & GALLOWAY FAMILY HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTINO FERNANDEZ (OWNER-ADMINISTRATOR)
(305) 761-4445
Entity
Organization
Contact information
Practice address
6650 SW 79TH AVE, MIAMI, FL 33143-2625
(305) 761-4445
Mailing address
6650 SW 79TH AVE, MIAMI, FL 33143-2625
(305) 761-4445
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-11969
FM
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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