Organization
GARDENS GROUP HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO LOPEZ (CEO)
(786) 339-7283
Entity
Organization
Contact information
Practice address
14502 SW 18TH ST, MIAMI, FL 33175-7074
(786) 339-7283
Mailing address
14502 SW 18TH ST, MIAMI, FL 33175-7074
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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