Organization
SUMMIT MEDICAL STAFFING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE CERESIER REGISTERED NURSE (ADMINISTRATOR)
(954) 625-4818
Entity
Organization
Contact information
Practice address
19101 SW 53RD ST, SOUTHWEST RANCHES, FL 33332-1397
(954) 625-4818
Mailing address
19101 SW 53RD ST, SOUTHWEST RANCHES, FL 33332-1397
(954) 625-4818
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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