Organization
MAYRA'S ADULT LIVING FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIANA CHALA (OWNER)
(305) 370-2405
Entity
Organization
Contact information
Practice address
4210 W 19TH AVE, HIALEAH, FL 33012-5802
(305) 370-2405
Mailing address
4210 W 19TH AVE, HIALEAH, FL 33012-5802
(305) 370-2405
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10122
FL
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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