Organization
MAYRA'S ALF #3, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIANA CHALA (OWNER)
(305) 370-2405
Entity
Organization
Contact information
Practice address
2750 NW 16TH TER, MIAMI, FL 33125-2019
(305) 370-2405
Mailing address
2750 NW 16TH TER, MIAMI, FL 33125-2019
(305) 370-2405
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL09200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141830100
—
FL
Enumeration date
12/20/2007
Last updated
12/20/2007
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