Organization
STAR OF MARY ADULT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA PEREZ (OWNER)
(786) 218-1774
Entity
Organization
Contact information
Practice address
6425 SW 93RD PL, MIAMI, FL 33173-2321
(305) 270-0105
Mailing address
6425 SW 93RD PL, MIAMI, FL 33173-2321
(305) 270-0105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10939
FL
310400000X
Assisted Living Facility
AL10939
FL
Other
Enumeration date
02/27/2009
Last updated
08/08/2011
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