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Organization

SAINT MICHAELS GROUP HOME INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIELLA TORRES MENDEZ MS. CCC-SLP (PRESIDENT)
(305) 490-7101
Entity
Organization

Contact information

Practice address
8881 NW 185TH ST, HIALEAH, FL 33018-6564
(305) 490-7101
Mailing address
8881 NW 185TH ST, HIALEAH, FL 33018-6564
(305) 490-7101

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
09/12/2023
Last updated
09/15/2023
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