Provider Demographics
NPI:1538461769
Name:MAGIARI INC
Entity Type:Organization
Organization Name:MAGIARI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AREZKI
Authorized Official - Middle Name:I
Authorized Official - Last Name:MASSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-543-6133
Mailing Address - Street 1:3400 SW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3070
Mailing Address - Country:US
Mailing Address - Phone:305-553-8006
Mailing Address - Fax:305-553-8006
Practice Address - Street 1:3400 SW 122ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3070
Practice Address - Country:US
Practice Address - Phone:305-553-8006
Practice Address - Fax:305-553-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7265310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility