Organization
GINAS REHABILITATION 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGINA I PAVON (ADMINISTRATOR)
(305) 635-5189
Entity
Organization
Contact information
Practice address
2329 NW 33RD ST, MIAMI, FL 33142-5858
(305) 635-5189
Mailing address
2221 SW 24TH TER, MIAMI, FL 33145-3627
(305) 635-5189
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140339700
—
FL
Enumeration date
05/20/2011
Last updated
05/20/2011
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