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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