Organization
MY DREAM ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATIESHA STEWART REISNER (MGR)
(954) 394-7164
Entity
Organization
Contact information
Practice address
55 NE 193RD TER, MIAMI, FL 33179-3232
(954) 394-7164
(305) 974-3734
Mailing address
55 NE 193RD TER, MIAMI, FL 33179-3232
(954) 394-7164
(305) 974-3734
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13051
FL
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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