Organization
WILLIAMS, MAVIS
Active
Other names
Williams, Mavis
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAVIS WILLIAMS (OWNER)
(954) 632-3815
Entity
Organization
Contact information
Practice address
7320 NEPTUNE ST, MIRAMAR, FL 33023-3647
(954) 632-3815
Mailing address
7320 NEPTUNE ST, MIRAMAR, FL 33023-3647
(954) 632-3815
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141345700
—
FL
Enumeration date
11/16/2021
Last updated
01/04/2022
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