Organization
MESA'S GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILENA MESA (ADMINISTRATOR/OWNER)
(786) 478-8132
Entity
Organization
Contact information
Practice address
9771 SW 48TH ST, MIAMI, FL 33165-6301
(786) 478-8132
Mailing address
11895 SW 37TH ST, MIAMI, FL 33175-3111
(786) 478-8132
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
05/23/2017
Last updated
06/20/2018
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