Organization
MIAMI GARDENS MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOVELETTE BEHARIE- THOMAS (OWNER/ADMINISTRATOR)
(954) 815-8171
Entity
Organization
Contact information
Practice address
915 NW 175TH ST, MIAMI GARDENS, FL 33169-4613
(954) 815-8171
Mailing address
915 NW 175TH ST, MIAMI GARDENS, FL 33169-4613
(954) 815-8171
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11092
FL
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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