Organization
PMR GEORGIA HOLDING, LLC
Active
Parent organization
PMR GEORGIA HOLDING, LLC
Other names
Jencare Senior Medical Center Forest Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMR GEORGIA HOLDING, LLC
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 628-6117
Entity
Organization
Contact information
Practice address
1057 MAIN ST, FOREST PARK, GA 30297-1482
(404) 301-4555
(404) 301-4482
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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