Mp1957

NPI #1316515257 in West Park, Florida

Provider Information

NPI Number
1316515257
Entity Type
Organization
Organization Name
Mp1957
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 16, 2021
Last Updated
Aug 31, 2021

Practice Location

Address
4431 SW 27TH ST
State
Florida
ZIP Code
33023-4357
Phone
(954) 589-5155

Authorized Official

Name
MONICA GONZALEZ
Title
ADMINISTRATOR
Phone
(954) 404-4757

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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