MEDICARE: CARING BEYOND IMAGINATION

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1346792249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING BEYOND IMAGINATION

Provider Business Mailing Address
First Line	:	1001 NEW PARKVIEW PL
Second Line	:
City	:	HAVERHILL
State	:	FL
Zip	:	33417-5836
Country	:	US
Telephone Number	:	561-523-4709
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 NEW PARKVIEW PL
Second Line	:
City	:	HAVERHILL
State	:	FL
Zip	:	33417-5836
Country	:	US
Telephone Number	:	561-714-8427
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FABIENNE BLANC
Credential	:
Telephone Number	:	561-523-4709

Provider Enumeration Date	:	10/27/2016
Last Update Date	:	10/27/2016

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Directions to “CARING BEYOND IMAGINATION ” Practice Location

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