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NPI Code Detail

MEDICARE: ALDERSGATE HEALTHCARE INC

MEDICARE: ALDERSGATE HEALTHCARE INC
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
1314000000XSkilled Nursing FacilitySNF1235096FL

General Provider Information

NPI Number : 1043226400
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALDERSGATE HEALTHCARE INC
Provider Business Mailing Address
First Line : 5300 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-2104
Country : US
Telephone Number : 305-556-3500
Fax Number : 305-821-1407
Provider Business Practice Location Address
First Line : 5300 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-2104
Country : US
Telephone Number : 305-556-3500
Fax Number : 305-821-1407
Authorized Official
Title or Position : DIRECTOR
Name : MR. GARY FEATHERS
Credential :
Telephone Number : 305-238-9954
Provider Enumeration Date : 07/31/2006
Last Update Date : 01/09/2008

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Directions to “ALDERSGATE HEALTHCARE INC ” Practice Location

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