Organization
MILLER RETIREMENT HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE FUENTES (OWNER)
(305) 796-8220
Entity
Organization
Contact information
Practice address
11262 SW 56 STREET, MIAMI, FL 33165
(305) 412-3633
(305) 225-1289
Mailing address
11262 SW 56 STREET, MIAMI, FL 33165
(305) 412-3633
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 7498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142190500
—
FL
Enumeration date
05/21/2007
Last updated
04/27/2022
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