Organization
HACIENDA CARE VI LP
Active
Other names
West Gables Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
(972) 931-3800
Entity
Organization
Contact information
Practice address
2525 SW 75TH AVE, MIAMI, FL 33155-2800
(305) 265-9391
(305) 265-5021
Mailing address
5420 W PLANO PKWY, PLANO, TX 75093-4823
(972) 931-3800
(972) 767-6222
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1592096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028235900
—
FL
Enumeration date
11/17/2005
Last updated
07/11/2016
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