Organization
MEADOW WOOD MANOR SECT 3, INC.
Active
Other names
Vickys ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA VICTORIA DIAZ (OWNER/ADMINISTRATOR)
(305) 303-7569
Entity
Organization
Contact information
Practice address
12438 SW 266 LANE, MIAMI, FL 33032
(786) 339-8874
Mailing address
12438 SW 266 LANE, MIAMI, FL 33032
(786) 339-8874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL10893
STATE LICENSE
FL
Enumeration date
05/18/2009
Last updated
05/18/2009
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