Organization
TRACE HAVEN HEALTH & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON ROBAINA JR. B.S. (VP OF REIMBURSMENTS)
(305) 892-1790
Entity
Organization
Contact information
Practice address
11900 BISCAYNE BLVD SUITE 301, MIAMI, FL 33181
(305) 892-1790
Mailing address
11900 BISCAYNE BLVD SUITE 301, MIAMI, FL 33181
(305) 892-1790
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00-230-073
—
MS
Enumeration date
02/07/2006
Last updated
08/22/2020
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