Organization
MIRAMAR SENIOR LIVING II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT HERRYMAN (ADMINISTRATOR)
(305) 305-1275
Entity
Organization
Contact information
Practice address
15558 SW 24TH TER, MIAMI, FL 33185-5777
(305) 305-1275
Mailing address
15558 SW 24TH TER, MIAMI, FL 33185-5777
(305) 305-1275
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10870
FL
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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