Organization
EAST RIDGE RETIREMENT VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN S. GARWOOD (SECRETARY OF BOARD OF DIRECTORS)
(305) 238-9617
Entity
Organization
Contact information
Practice address
19225 SW 87TH AVE, CUTLER BAY, FL 33157-8984
(305) 238-2623
(305) 256-3516
Mailing address
19225 SW 87TH AVE, CUTLER BAY, FL 33157-8984
(305) 238-2623
(305) 256-3516
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL6091
FL
314000000X
Skilled Nursing Facility
Primary
SNF1136096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022878800
—
FL
Enumeration date
12/13/2005
Last updated
01/20/2016
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