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1467603845 NPI number — TERRACE MANOR LLC

NPI Number: 1467603845
Health Care Provider/Practitioner: TERRACE MANOR LLC

Information about “1467603845” NPI (TERRACE MANOR LLC) exists in 1467603845 in HTML format HTML  |  1467603845 in plain Text format TXT  |  1467603845 in PDF (Portable Document Format) PDF  |  1467603845 in an XML format XML  formats.

NPI Number : 1467603845 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467603845",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TERRACE MANOR LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8770 SW 127TH TER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33176-5231",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-253-1909",
    "MailingAddressFaxNumber": "786-430-0425",
    "FirstLinePracticeLocationAddress": "8770 SW 127TH TER",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33176-5231",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-253-1909",
    "PracticeLocationAddressFaxNumber": "786-430-0425",
    "EnumerationDate": "10/03/2008",
    "LastUpdateDate": "10/03/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PEREZ",
    "AuthorizedOfficialFirstName": "LILLIAM",
    "AuthorizedOfficialMiddleName": "I",
    "AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "305-253-1909",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": "AL6037",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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