Organization
MJ CHILDRENS PAVILLION, INS
Active
Parent organization
MJ CHILDRENS PAVILLION, INC
Other names
M J Pavillion at Drayton
Organization subpart
Yes
Provider details
NPI number
Legal business name
MJ CHILDRENS PAVILLION, INC
Authorized official
MS. JOAN TYRELL (ADMINISTRATOR)
(407) 699-4255
Entity
Organization
Contact information
Practice address
728 S ENDEAVOUR DR, WINTER SPRINGS, FL 32708-5167
(407) 699-4255
Mailing address
728 S ENDEAVOUR DR, WINTER SPRINGS, FL 32708-5167
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457601148
—
FL
Enumeration date
01/15/2015
Last updated
01/15/2015
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