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NPI Code Detail

MEDICARE: J.SHALOM CHOICE OF LIVING, ENTERPRISES

MEDICARE: J.SHALOM CHOICE OF LIVING, ENTERPRISES
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
1251E00000XHome Health Agency691821296FL

General Provider Information

NPI Number : 1679700074
Entity Type Code : Organization
Provider Name (Legal Business Name) : J.SHALOM CHOICE OF LIVING, ENTERPRISES
Provider Business Mailing Address
First Line : 1845 NE 169TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3024
Country : US
Telephone Number : 786-308-9978
Fax Number : 305-947-4106
Provider Business Practice Location Address
First Line : 1845 NE 169TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3024
Country : US
Telephone Number : 786-308-9978
Fax Number : 305-947-4106
Authorized Official
Title or Position : LPN
Name : MISS MARIE-REGINALD ALEXIS
Credential :
Telephone Number : 786-308-9978
Provider Enumeration Date : 06/12/2009
Last Update Date : 06/12/2009

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Directions to “J.SHALOM CHOICE OF LIVING, ENTERPRISES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.