SALEM VILLAGES MRDD, INC.
Intermediate Care Facility, Mentally Retarded
Belleview, Florida
Provider NPI: 1104994672
Organization Information:Organization Name: SALEM VILLAGES MRDD, INC.
Practice Location:
5321 SE 107TH PL BELLEVIEW, FL 34420 US
Tel: 352-372-0130 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5321 SE 107TH PL BELLEVIEW, FL 34420 US
Tel: 352-372-0130 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
028546300 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin