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Organization
EAST RIDGE RETIREMENT VILLAGE, INC.
Active
Organization
EAST RIDGE RETIREMENT VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M. GREGORY (CHAIRMAN OF THE BOARD)
(305) 669-6000
Entity
Organization
Contact information
Practice address
19301 SW 87TH AVENUE, MIAMI, FL 33157-8999
(305) 238-2623
(305) 256-3516
Mailing address
19301 SW 87TH AVENUE, MIAMI, FL 33157-8999
(305) 238-2623
(305) 256-3516
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20315096
FL
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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