Organization
PETSIRL GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONISE WALKER (OWNER/ADMINISTRATOR)
(305) 318-6650
Entity
Organization
Contact information
Practice address
8361 NE 3RD AVE, MIAMI, FL 33138-3905
(305) 318-6650
Mailing address
8361 NE 3RD AVE, MIAMI, FL 33138-3905
(305) 318-6650
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11895
FL
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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