Organization
REGENTS PARK AT AVENTURA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH WIESEL NHA (ADMINISTRATOR)
(305) 932-6360
Entity
Organization
Contact information
Practice address
18905 NE 25TH AVE, AVENTURA, FL 33180-3208
(305) 932-6360
(305) 935-9278
Mailing address
18905 NE 25TH AVE, AVENTURA, FL 33180-3208
(305) 932-6360
(305) 935-9278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1384095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1M
BC FLORIDA
FL
Enumeration date
09/26/2006
Last updated
08/22/2020
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