Organization
VILLA MARIA NURSING & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL JOHNSON NHA (EXECUTIVE DIRECTOR)
(305) 891-8850
Entity
Organization
Contact information
Practice address
1050 NE 125TH ST, NORTH MIAMI, FL 33161-5805
(305) 891-8850
(305) 891-3361
Mailing address
1050 NE 125TH ST, NORTH MIAMI, FL 33161-5805
(305) 891-8850
(305) 891-3361
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1576096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120022
—
FL
05
—
203165
—
FL
Enumeration date
11/09/2005
Last updated
01/30/2020
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