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Organization

M&J MILAGROS DEL CIELO #1 GROUP HOME , CORP

Active
Other names
M&J MILAGROS DEL CIELO #1 GROUP HOME , CORP
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. JUANA BATISTA SR. (VICE PRESIDENT)
(786) 691-8335
Entity
Organization

Contact information

Practice address
9830 SW 12TH TER, MIAMI, FL 33174-2912
(786) 447-3460
Mailing address
9830 SW 12TH TER, MIAMI, FL 33174-2912
(786) 447-3460

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
07/17/2019
Last updated
07/17/2019
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