Organization
MACHIN 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSE DOMINGUEZ (OWNER)
(786) 506-3536
Entity
Organization
Contact information
Practice address
18111 SW 143RD CT, MIAMI, FL 33177-7634
(786) 382-9022
Mailing address
18111 SW 143RD CT, MIAMI, FL 33177-7634
(786) 382-9022
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10909
FL
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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