Provider Demographics
NPI:1598309452
Name:CLARYS #2 CORP.
Entity Type:Organization
Organization Name:CLARYS #2 CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLARIVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-4097
Mailing Address - Street 1:7760 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2606
Mailing Address - Country:US
Mailing Address - Phone:786-360-4097
Mailing Address - Fax:305-445-3405
Practice Address - Street 1:7760 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2606
Practice Address - Country:US
Practice Address - Phone:786-360-4097
Practice Address - Fax:305-445-3405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility