Miami Gardens Manor, Inc.
NPI #1922305200 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1922305200
- Entity Type
- Organization
- Organization Name
- Miami Gardens Manor, Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 22, 2011
- Last Updated
- Feb 22, 2011
Practice Location
- Address
- 915 NW 175TH ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-4613
- Phone
- (954) 815-8171
Authorized Official
- Name
- NOVELETTE BEHARIE- THOMAS
- Title
- OWNER/ADMINISTRATOR
- Phone
- (954) 815-8171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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