Marie's Group Home Services, INC

NPI #1396149688 in Miramar, Florida

Provider Information

NPI Number: 1396149688
Entity Type: Organization
Organization Name: Marie's Group Home Services, INC
Primary Specialty: Exclusive Provider Organization
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 2140 SW 67TH WAY
City: Miramar
State: Florida
ZIP Code: 33023-2763
Phone: (305) 620-8549

Authorized Official

Name: MARIE MAUDE SIMEON
Title: PRESIDENT/DIRECTOR
Phone: (786) 239-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Exclusive Provider Organization	302F00000X	Primary

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