Organization
GINAS REHABILITATION 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGINA I PAVON (ADMINISTRATOR)
(305) 642-7446
Entity
Organization
Contact information
Practice address
2221 SW 24TH TER, MIAMI, FL 33145-3627
(305) 642-7446
Mailing address
2266 SW 2ND ST, MIAMI, FL 33135-1517
(305) 642-7446
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140344300
—
FL
Enumeration date
05/20/2011
Last updated
05/20/2011
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