MEDICARE: MAGDA'S HOME CORPORTION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL7963	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811156169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGDA'S HOME CORPORTION

Provider Business Mailing Address
First Line	:	10551 SW 49TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-6223
Country	:	US
Telephone Number	:	305-305-8711
Fax Number	:

Provider Business Practice Location Address
First Line	:	10551 SW 49TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-6223
Country	:	US
Telephone Number	:	305-305-8711
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARIA TERESA GUERRERO
Credential	:
Telephone Number	:	305-305-8711

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	06/03/2008

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Directions to “MAGDA'S HOME CORPORTION ” Practice Location

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