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Organization

MAYLU RETIREMENT HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANIBAL MORGADO (PRESIDENT)
(305) 445-0380
Entity
Organization

Contact information

Practice address
4751 NW 4TH TER, MIAMI, FL 33126-2115
(305) 445-0380
Mailing address
4751 NW 4TH TER, MIAMI, FL 33126-2115
(305) 445-0380

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7716
FL
3104A0625X
Assisted Living Facility (Mental Illness)
7716
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142703200
FL
Enumeration date
06/06/2007
Last updated
02/08/2012
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