Organization
NL MURRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLE L MURRAY (OWNER)
(386) 214-8085
Entity
Organization
Contact information
Practice address
4025 BEXHILL DR, NEW SMYRNA BEACH, FL 32168-9019
(386) 214-8085
(386) 410-4738
Mailing address
4025 BEXHILL DR, NEW SMYRNA BEACH, FL 32168-9019
(386) 214-8085
(386) 410-4738
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102483900
—
FL
Enumeration date
03/29/2021
Last updated
03/29/2021
Update your record
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