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EAST RIDGE RETIREMENT VILLAGE, INC.

Assisted Living Facility

Cutler Bay, Florida

Provider NPI: 1649255761

Organization Information:
Organization Name:  EAST RIDGE RETIREMENT VILLAGE, INC.


Practice Location:
19225 SW 87TH AVE  CUTLER BAY, FL 33157 US
Tel: 305-238-2623  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
FLAL6091
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
FLSNF1136096

Other Provider Identifiers:

IssuerNumberStateType
022878800FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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