Organization
MIAMI GARDENS CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK KATZ NA (ADMINISTRATOR)
(305) 651-9690
Entity
Organization
Contact information
Practice address
190 NE 191ST ST, MIAMI, FL 33179-3711
(305) 651-9690
(305) 654-9123
Mailing address
190 NE 191ST ST, MIAMI, FL 33179-3711
(305) 651-9690
(305) 654-9123
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
SNF1352096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021061700
—
FL
Enumeration date
12/30/2005
Last updated
06/05/2012
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