Organization
MINERVA RETIREMENT HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA MARIN (ADMINISTRATOR/OWNER)
(305) 776-5346
Entity
Organization
Contact information
Practice address
41 SW 68TH AVE, MIAMI, FL 33144-2805
(305) 776-5346
Mailing address
41 SW 68TH AVE, MIAMI, FL 33144-2805
(305) 776-5346
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10466
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL10466
FL
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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