Organization
M & K GROUP HOME INC
Active
Other names
Matanzas Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO CRUZ (OWNER)
(786) 223-7751
Entity
Organization
Contact information
Practice address
4801 SW 201ST TER, SW RANCHES, FL 33332-1007
(305) 333-2659
Mailing address
4801 SW 201ST TER, SW RANCHES, FL 33332-1007
(305) 333-2659
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/15/2021
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