Jackson Heights Nh, Llc

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NPI Provider: 1184629743
Contact Name: Mando Duane William
Position: CFO
Phone: (813) 635-9500

Jackson Heights Nh, Llc Information:

Jackson Heights Nh, Llc organization have npi 1184629743, taxonomy code is 314000000X with license number is SNF1254096 in . This Business address located in 1404 NW 22nd St, Miami, FL 33142 Florida. Get directions of Jackson Heights Nh, Llc.

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Practice Location
Address: 1404 NW 22nd St, Miami, FL 33142
Phone: (305) 325-1050

Business Location

Address: 1404 NW 22nd St, Miami, FL 33142

Phone: (305) 325-1050

Fax: (305) 325-0232

Taxonomy

Taxonomy Code: 314000000X

License Number: SNF1254096

License Number of State: FL

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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