Organization
GRANNYS ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA MARIN (ADMINISTRATOR)
(305) 310-4239
Entity
Organization
Contact information
Practice address
3840 NW 184TH ST, MIAMI GARDENS, FL 33055-2835
(305) 310-4239
Mailing address
3840 NW 184TH ST, MIAMI GARDENS, FL 33055-2835
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/17/2020
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