Organization
MARIE'S GROUP HOME SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MAUDE SIMEON (PRESIDENT/DIRECTOR)
(786) 239-2255
Entity
Organization
Contact information
Practice address
2140 SW 67TH WAY, MIRAMAR, FL 33023-2763
(305) 620-8549
Mailing address
20009 NW 58TH CT, HIALEAH, FL 33015-4961
(305) 620-8549
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687991896
—
FL
Enumeration date
10/15/2014
Last updated
10/15/2014
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