Organization
MONTEVERDE ADULT ACTIVITY CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MILLAN MSW (ADMINISTRATOR)
(305) 485-9141
Entity
Organization
Contact information
Practice address
11865 SW 26TH ST, G-5, MIAMI, FL 33175-2400
(305) 485-9141
Mailing address
11865 SW 26TH ST, G-5, MIAMI, FL 33175-2400
(305) 485-9141
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
9042
FL
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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