NPI | 1619520822 |
---|---|
Former Legal Business Name | M&J MILAGROS DEL CIELO #1 GROUP HOME , CORP |
Entity Type | Organization |
Authorized Contact | JUANA BATISTA Vice President 786-691-8335 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |