Organization
MOON RIVER ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLEY A GRIFFITHS (ADMINISTRATOR)
(305) 609-6754
Entity
Organization
Contact information
Practice address
2811 NW 88TH ST, MIAMI, FL 33147-3777
(786) 558-9770
Mailing address
2811 NW 88TH ST, MIAMI, FL 33147-3777
(786) 558-9770
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12364
FL
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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