Organization
MAREAS VILLIAGE CARE & SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RICOT MAREUS (OWNER/ADMINISTRATOR)
(305) 305-8248
Entity
Organization
Contact information
Practice address
2420 NW 104TH ST, MIAMI, FL 33147-1235
(305) 305-8248
Mailing address
2420 NW 104TH ST, MIAMI, FL 33147-1235
(305) 305-8248
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
233340
FL
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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