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Organization

JACKSON PLAZA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRY G ESCOBAR (ADMINISTRATOR)
(305) 347-3380
Entity
Organization

Contact information

Practice address
1861 NW 8TH AVE, MIAMI, FL 33136-1115
(305) 347-3380
(305) 347-3388
Mailing address
1861 NW 8TH AVE, MIAMI, FL 33136-1115
(305) 347-3380
(305) 347-3388

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1255096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025372300
FL
Enumeration date
10/04/2006
Last updated
02/09/2009
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