Organization
HEARTLAND OF KENDALL FL, LLC
Active
Other names
Heartland Health Care Center - Kendall
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
9400 SW 137TH AVE, MIAMI, FL 33186-1434
(305) 385-8290
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012206-00
MEDICAID WAIVER
FL
Enumeration date
03/16/2015
Last updated
06/16/2017
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