Organization
GOLDEN AGE FAMILY HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAITE MOMPIE I (PRESIDENT)
(305) 370-2597
Entity
Organization
Contact information
Practice address
15962 SW 81 ST, MIAMI, FL 33193-3065
(305) 370-2597
Mailing address
15962 SW 81 ST, MIAMI, FL 33193-3065
(305) 370-2597
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11817
FL
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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