Organization
MIA'S ADULT CARE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE GINARTE (OWNER)
(786) 619-4464
Entity
Organization
Contact information
Practice address
6524 SW 148TH PL, MIAMI, FL 33193-2013
(305) 382-9410
(305) 387-8843
Mailing address
6524 SW 148TH PL, MIAMI, FL 33193-2013
(305) 382-9410
(305) 387-8843
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11721
AHCA
FL
Enumeration date
06/15/2021
Last updated
06/15/2021
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