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Organization

MARY FAMILY HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIESLY SABINA MENDOZA (OWNER)
(786) 909-0208
Entity
Organization

Contact information

Practice address
7935 SW 146TH CT, MIAMI, FL 33183-2942
(305) 385-1138
(305) 385-1138
Mailing address
7935 SW 146TH CT, MIAMI, FL 33183-2942
(305) 385-1138
(305) 385-1138

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7174
AHCA
FL
Enumeration date
10/12/2022
Last updated
10/12/2022
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