Organization
MALY'S SPECIAL SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIKA BERROA (OWNER)
(786) 338-3304
Entity
Organization
Contact information
Practice address
2646 NW 21 TERR, MIAMI, FL 33142
(786) 523-4197
(305) 635-2328
Mailing address
PO BOX 420793, MIAMI, FL 33242
(786) 338-3304
(786) 717-6420
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691763196
—
FL
Enumeration date
02/28/2011
Last updated
03/21/2017
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