Organization
PMR LA HOLDING, LLC
Active
Other names
Jencare Senior Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (EXECUTIVE OFFICER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
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
01/18/2021
Last updated
01/18/2021
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