Organization
HOME AWAY FROM HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA MAYTIN (OWNER)
(305) 609-6551
Entity
Organization
Contact information
Practice address
2660 SW 69TH AVE, MIAMI, FL 33155-2965
(305) 609-6551
Mailing address
2660 SW 69TH AVE, MIAMI, FL 33155-2965
(305) 609-6551
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10697
FL
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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