Organization
MP DIVERSIFIED SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN FUNDORA (OWNER)
(786) 380-7553
Entity
Organization
Contact information
Practice address
311 SW 71ST AVE, MIAMI, FL 33144
(305) 418-0731
(305) 418-0731
Mailing address
311 SW 71ST AVE, MIAMI, FL 33144
(305) 418-0731
(305) 418-0731
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11641
FL
Other
Enumeration date
02/08/2013
Last updated
05/23/2023
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