Organization
MIDWAY RETIREMENT RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA G GROISMAN (ADMINSITRATOR)
(305) 266-1499
Entity
Organization
Contact information
Practice address
93 SW 79TH CT, MIAMI, FL 33144-2233
(305) 266-1499
Mailing address
93 SW 79TH CT, MIAMI, FL 33144-2233
(305) 266-1499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6647
FL
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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