Organization
EAGLES EYE COMFORT CARE MIRAMAR
Active
Other names
Eagles Eye Comfort Care
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA JUMPP (ADMINISTRATOR)
(954) 232-1389
Entity
Organization
Contact information
Practice address
8620 NW 3RD ST, PEMBROKE PINES, FL 33024-6567
(954) 232-1389
Mailing address
6308 SW 27TH ST, MIRAMAR, FL 33023-3920
(954) 232-1389
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022883500
—
FL
05
—
1033628730
—
FL
Enumeration date
11/06/2018
Last updated
03/09/2019
Update your record
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