Buddy' S Place Mg LLC
NPI #1073800603 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1073800603
- Entity Type
- Organization
- Organization Name
- Buddy' S Place Mg LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 4, 2011
- Last Updated
- Jul 4, 2011
Practice Location
- Address
- 5370 NW 172ND ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33055-4062
- Phone
- (305) 318-6593
Authorized Official
- Name
- REVILBRAY REVILLA
- Title
- OWNER
- Phone
- (305) 318-6593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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