Organization
ANNIE HORNE ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE NICHOLL (OWNER/ADMINISTRATOR)
(305) 681-6773
Entity
Organization
Contact information
Practice address
17020 NW 47TH AVE, MIAMI GARDENS, FL 33055-4265
(305) 626-9829
(305) 626-9829
Mailing address
17020 NW 47TH AVE, MIAMI GARDENS, FL 33055-4265
(305) 626-9829
(305) 626-9829
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10751
FL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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