Organization
MIDWAY MANOR RETIREMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALOMA CALIXTO (OWNER)
(305) 803-3133
Entity
Organization
Contact information
Practice address
93 SW 79TH CT, MIAMI, FL 33144-2233
(305) 803-3133
Mailing address
18328 NW 68TH AVE APT D, HIALEAH, FL 33015-3426
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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