{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "COURTYARD GARDENS REHABILITATION CENTER, L.L.C.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "631 US HIGHWAY 1",
"SecondLineMailingAddress": "SUITE 303",
"MailingAddressCityName": "NORTH PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33408-4617",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-845-7767",
"MailingAddressFaxNumber": "561-828-7641",
"FirstLinePracticeLocationAddress": "17781 THELMA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JUPITER",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33458-7942",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-746-9866",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/09/2009",
"LastUpdateDate": "03/09/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PECK",
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"AuthorizedOfficialMiddleName": "CHARLES",
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "561-845-7767",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}