Organization
MI GRAN FAMILIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA M MORALES (PRESIDENT)
(786) 274-3618
Entity
Organization
Contact information
Practice address
9981 SW 16TH ST, MIAMI, FL 33165-7576
(786) 274-3618
Mailing address
9981 SW 16TH ST, MIAMI, FL 33165-7576
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7705
FL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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