Organization
MIA CASA AT NORTH MIAMI.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTOS RAFAEL MUNOZ (ADMINISTRATOR)
(786) 299-4108
Entity
Organization
Contact information
Practice address
12221 W DIXIE HWY, NORTH MIAMI, FL 33161-5427
(786) 299-4108
(786) 703-5907
Mailing address
12221 W DIXIE HWY, NORTH MIAMI, FL 33161-5427
(786) 299-4108
(786) 703-5907
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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