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Organization

PMR VIRGINIA HOLDING, LLC

Active
Other names
JENCARE SENIOR MEDICAL CENTERS OF VIRGINIA
Organization subpart
No

Provider details

NPI number
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(786) 618-7245
Entity
Organization

Contact information

Practice address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5742
(305) 628-6117
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5742
(305) 831-4760

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3336C0003X
Community/Retail Pharmacy

Other

Enumeration date
07/26/2016
Last updated
04/04/2024
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