Organization
GRAND LIVING 21, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND G WEISBEIN (MANAGER)
(305) 668-7858
Entity
Organization
Contact information
Practice address
3692 GRAND AVE, COCONUT GROVE, FL 33133-4953
(305) 668-7858
Mailing address
3692 GRAND AVE, COCONUT GROVE, FL 33133-4953
(305) 668-7858
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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