MEDICARE: BRINLEY GARDENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	11511	FL

General Provider Information

NPI Number	:	1831327469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRINLEY GARDENS

Provider Business Mailing Address
First Line	:	550 NE 171ST TER
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3917
Country	:	US
Telephone Number	:	786-416-7082
Fax Number	:	305-397-2134

Provider Business Practice Location Address
First Line	:	550 NE 171ST TER
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3917
Country	:	US
Telephone Number	:	786-416-7082
Fax Number	:	305-397-2134

Authorized Official
Title or Position	:	CEO
Name	:	MISS VALERIE JEUNE
Credential	:
Telephone Number	:	786-423-8663

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	06/22/2009

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