Emerald Manor LLC
Assisted Living Facility in North Miami, FL. Organization (NPI-2).
NPI number1114433232
StatusActive
Last updated in NPPESDec 27, 2017
Details
- NPI
- 1114433232
- Entity type
- Organization (NPI-2)
- Legal business name
- Emerald Manor LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 27, 2017
- Last updated
- Dec 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | FL | Yes |
Other names
- Emerald Place LLC (Doing Business As)
Practice location
12221 W Dixie HwyNorth Miami, FL 33161-5427
Phone 914-548-7617 · Fax 914-633-1620
Mailing address
22 Regal DrNew Rochelle, NY 10804-1202
Phone 914-548-7617 · Fax 914-633-1620
Authorized official
Steven Bicky
Manager
9145487617
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