Organization
GREYNOLDS PARK MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN E CASPER (ADMINISTRATOR)
(305) 944-2361
Entity
Organization
Contact information
Practice address
17400 W DIXIE HWY, NORTH MIAMI BEACH, FL 33160-4818
(305) 944-2361
(305) 949-9464
Mailing address
17400 W DIXIE HWY, NORTH MIAMI BEACH, FL 33160-4818
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1184096
FL
Other
Enumeration date
10/12/2005
Last updated
08/22/2020
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