Organization
MARIA ADULT CARE IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL ALVAREZ (PRESIDENT)
(786) 201-1906
Entity
Organization
Contact information
Practice address
13111 SW 84TH ST, MIAMI, FL 33183-4323
(305) 387-6523
Mailing address
13111 SW 84TH ST, MIAMI, FL 33183-4323
(305) 387-6523
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11413
FL
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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