Villa Maria Senior Residence, Corp.

NPI 1790118214 - Assisted Living Facility - 310400000X

NPI Details
NPI 1790118214
Enumeration Date 08/20/2013
Last Updated 08/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARIELLA M MARIELLA
Position OWNER/ADMINISTRATOR
Phone (305) 278-7314
Fax (305) 278-7314
Practice Location
19240 SW 124TH CT
MIAMI FL, 33177-6500, US
Phone (305) 278-7314
Fax (305) 278-7314
Business Location
19240 SW 124TH CT
MIAMI FL, 33177-6500, US
Phone (305) 278-7314
Fax (305) 278-7314
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL9350
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According to our database, Villa Maria Senior Residence, Corp. NPI is 1790118214, taxonomy code is 310400000X and license number is AL9350, license state is located at Florida. Villa Maria Senior Residence, Corp. physically located at 19240 Sw 124th Ct, Miami FL, 33177-6500. NPI Number 1033115704 has the healthcare provider type.

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1790118214 NPI number is provided on an as is basis without warranty of any kind. 1790118214 is maintained by the National Plan & Provider Enumeration System. The contents of Villa Maria Senior Residence, Corp. are for informational purposes only.