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Organization

MUNDI HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FREDY J FAGES (OWNER)
(786) 219-7622
Entity
Organization

Contact information

Practice address
9970 SW 38TH TER, MIAMI, FL 33165-3938
(786) 703-1616
(786) 637-2466
Mailing address
9970 SW 38TH TER, MIAMI, FL 33165-3938
(786) 703-1616
(786) 637-2466

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL13546
AHCA
FL
Enumeration date
01/19/2021
Last updated
01/19/2021
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