Organization
PALM GARDENS RESIDENTIAL ADULT HOME, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN A WIATT (OWNER)
(305) 755-2579
Entity
Organization
Contact information
Practice address
6620 SW 46TH ST, MIAMI, FL 33155-5904
(305) 755-2579
Mailing address
6620 SW 46TH ST, MIAMI, FL 33155-5904
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13035
FL
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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