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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.
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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