institution
Martinez Group Home, Llc
Physical Disabilities Residential Treatment Facility in Miami, Florida
NPI 1700300092

Martinez Group Home, Llc is a Physical Disabilities Residential Treatment Facility based in Miami, FL. Martinez Group Home, Llc practices in Miami, FL. The NPI Number for Martinez Group Home, Llc is 1700300092 and holds a License No. L11-1108-GH (Florida).

The current practice location address for Martinez Group Home, Llc is 14918 Sw 15 Ln, Miami, FL and can be reached out via phone at 305-450-7645 and via fax at 786-360-5343. You can also correspond with Martinez Group Home, Llc through the mailing address at 14918 SW 15 LN, MIAMI, FL - 33194 (mailing address contact number: 305-450-7645).

Location: 14918 Sw 15 Ln, Miami, FL, 33194
institution
Provider Profile Details
NPI Number
1700300092
Provider Name
Martinez Group Home, Llc
Credential
Provider Entity Type
Organization
Address
14918 Sw 15 Ln, Miami, FL, 33194
Phone Number
305-450-7645
Fax Number
786-360-5343
Provider Enumeration Date
07/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010236500 01 FL MEDICAID WAIVER PROVIDE
institution
Provider Business Practice Location Address Details
Address
14918 Sw 15 Ln
City
State
Zip
33194
Phone Number
305-450-7645
Fax Number
786-360-5343
person
Provider Business Mailing Address Details
Address
14918 Sw 15 Ln
City
State
Zip
33194
Phone Number
305-450-7645
Fax Number
786-360-5343
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
License No.
L11-1108-GH (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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