Organization
MYRTLES RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRTLE SUCKIE (OWNER)
(305) 653-4436
Entity
Organization
Contact information
Practice address
50 NW 184TH TER, MIAMI, FL 33169-4512
(305) 653-4436
(305) 465-3443
Mailing address
50 NW 184TH TER, MIAMI, FL 33169-4512
(305) 653-4436
(305) 465-3443
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
113040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110340
—
FL
Enumeration date
07/26/2017
Last updated
07/21/2022
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