Organization
MARULY'S ADULT CARE, INC
Active
Other names
Maruly's Adult Care
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL GONZALEZ (PRESIDENT)
(305) 300-4898
Entity
Organization
Contact information
Practice address
311 SW 136TH AVE, MIAMI, FL 33184
(305) 229-0396
(305) 221-0420
Mailing address
12710 NW 8TH LANE, MIAMI, FL 33182
(305) 300-4898
(305) 221-0420
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141821100
—
FL
Enumeration date
05/21/2007
Last updated
07/14/2008
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