Organization
MGR HOME #2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHA RIAL (OWNER)
(786) 797-5322
Entity
Organization
Contact information
Practice address
13620 SW 119TH ST, MIAMI, FL 33186
(786) 502-3152
(786) 502-3152
Mailing address
13620 SW 119TH ST, MIAMI, FL 33186
(786) 502-3152
(786) 502-3152
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11907
FL
Other
Enumeration date
08/04/2015
Last updated
01/05/2024
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