Organization
RESTORED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET MUNNINGS (OWNER-ADMINISTRATOR)
(305) 879-5171
Entity
Organization
Contact information
Practice address
1470 NW 174TH ST, MIAMI GARDENS, FL 33169-5125
(305) 879-5171
Mailing address
1470 NW 174TH ST, MIAMI GARDENS, FL 33169-5125
(305) 879-5171
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-11648
FL
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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