Organization
GALLEGO ADULT HOME, INC.
Active
Organization
GALLEGO ADULT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARQUEZ (CEO)
(786) 287-3505
Entity
Organization
Contact information
Practice address
12820 SW 74TH ST, MIAMI, FL 33183-3410
(786) 287-3506
Mailing address
12820 SW 74TH ST, MIAMI, FL 33183-3410
(786) 287-3506
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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