Organization
MAE ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELAINE RONDON (OWNER)
(786) 241-9883
Entity
Organization
Contact information
Practice address
3921 NW 179 ST, MIAMI GARDENS, FL 33055-3408
(786) 214-9883
(305) 648-6077
Mailing address
3921 NW 179 ST, MIAMI GARDENS, FL 33055-3408
(786) 214-9883
(305) 648-6077
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
FL
Enumeration date
01/17/2022
Last updated
11/22/2023
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