Organization
ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA CHRISTINE ST.HILLAIRE RN (ADMINISTRATOR)
(305) 621-2269
Entity
Organization
Contact information
Practice address
1320 NW 171ST ST, MIAMI, FL 33169-5215
(305) 621-2269
(305) 621-2269
Mailing address
1320 NW 171ST ST, MIAMI, FL 33169-5215
(305) 621-2269
(305) 621-2269
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906350
FL
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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