Organization
A GUARDIAN GROUP HOME
Active
Other names
agghinc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VENUS PEREZ (OWNER)
(786) 499-5580
Entity
Organization
Contact information
Practice address
9715 SW 73RD ST, MIAMI, FL 33173-4625
(305) 255-3731
(305) 234-2039
Mailing address
9715 SW 73RD ST, MIAMI, FL 33173-4625
(305) 255-3731
(305) 234-2039
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
11-658-GH
FL
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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