Organization
MIRAMAR SENIOR LIVING V, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT HERRYMAN (ADMINISTRATOR)
(305) 305-1275
Entity
Organization
Contact information
Practice address
5722 SW 165TH CT, MIAMI, FL 33193-4487
(305) 305-1275
Mailing address
5722 SW 165TH CT, MIAMI, FL 33193-4487
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11121
FL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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