Organization
MODEL RETREAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EULALEE GRAHAM (OFFICE MANAGER)
(786) 385-4017
Entity
Organization
Contact information
Practice address
3135 NW 67TH ST, MIAMI, FL 33147-6601
(305) 696-1627
Mailing address
3135 NW 67TH ST, MIAMI, FL 33147-6601
(305) 696-1627
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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