NPI:
1538825328
Provider Name:
WILLIAMS, MAVIS
Former Legal Business Name: WILLIAMS, MAVIS
Classification:
Custodial Care Facility - 311ZA0620X
Entity Type:
Organization
Specialization: Adult Care Home
Address:
7320 NEPTUNE ST
MIRAMAR, FL
ZIP 33023
Phone:
(954) 632-3815
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WILLIAMS, MAVIS is an adult care home custodial care facility in Miramar, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. WILLIAMS, MAVIS NPI is 1538825328. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Williams, Mavis.
The provider's business location address is:
7320 NEPTUNE ST
MIRAMAR, FL
ZIP 33023-647
Phone: (954) 632-3815
The provider's authorized official is Mavis Williams .
The authorized official title is Owner and has the following contact phone number (954) 632-3815.
The enumeration date for this NPI number is 11/16/2021 and was last updated on 1/4/2022.