Organization
SENIOR HOME MAKER COMPANION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA GONGORA (OWNER/PRESIDENT)
(786) 502-7397
Entity
Organization
Contact information
Practice address
13440 SW 36 ST, MIAMI, FL 33175
(786) 502-7397
(305) 559-6572
Mailing address
557 E ELCAM CIRCLE SUITE C, MARCO ISLAND, FL 34145
(786) 502-7397
(305) 559-6572
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
FL
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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