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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
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