Organization
B&B HOME CAR 111
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THELMA BLAKE (ADM.)
(305) 235-4884
Entity
Organization
Contact information
Practice address
11960 SW 172ND ST, MIAMI, FL 33177-2265
(305) 235-4884
Mailing address
11960 SW 172ND ST, MIAMI, FL 33177-2265
(305) 235-4884
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10946
FL
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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