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SALEM VILLAGES MRDD, INC.

Intermediate Care Facility, Mentally Retarded

Gainesville, Florida

Provider NPI: 1760550297

Organization Information:
Organization Name:  SALEM VILLAGES MRDD, INC.


Practice Location:
529 NW 19TH ST  GAINESVILLE, FL 32603 US
Tel: 352-372-0130  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
028064000FL05
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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