Organization
MAGGYS GARDEN ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MANUEL MENDEZ (PRESIDENT)
(305) 776-3182
Entity
Organization
Contact information
Practice address
8905 NW 120TH TER, HIALEAH GARDENS, FL 33018-4166
(305) 776-3182
Mailing address
8905 NW 120TH TER, HIALEAH GARDENS, FL 33018-4166
(305) 776-3182
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL10556
AHCA LICENSE
FL
Enumeration date
07/17/2019
Last updated
07/17/2019
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