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NPI Code Detail

MEDICARE: NATION SERIOR CARE, INC.

MEDICARE: NATION SERIOR CARE, 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
1310400000XAssisted Living FacilityAL9143FL

General Provider Information

NPI Number : 1154443356
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATION SERIOR CARE, INC.
Provider Business Mailing Address
First Line : 3157 W 78TH PL
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-3848
Country : US
Telephone Number : 305-975-4109
Fax Number : 305-816-9996
Provider Business Practice Location Address
First Line : 3157 W 78TH PL
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-3848
Country : US
Telephone Number : 305-975-4109
Fax Number : 305-816-9996
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. IRENE BOUZA
Credential :
Telephone Number : 305-975-4109
Provider Enumeration Date : 04/06/2007
Last Update Date : 08/22/2020

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Directions to “NATION SERIOR CARE, INC. ” Practice Location

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