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NPI Code Detail

MEDICARE: SILVER YEARS HEALTH CARE LLC

MEDICARE: SILVER YEARS HEALTH CARE LLC
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
1261QD1600XDevelopmental Disabilities Clinic/Center
2251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699307900
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER YEARS HEALTH CARE LLC
Provider Business Mailing Address
First Line : 11200 W FLAGLER ST STE 214
Second Line :
City : MIAMI
State : FL
Zip : 33174-1183
Country : US
Telephone Number : 305-223-2367
Fax Number : 305-675-0276
Provider Business Practice Location Address
First Line : 11200 W FLAGLER ST STE 214
Second Line :
City : MIAMI
State : FL
Zip : 33174-1183
Country : US
Telephone Number : 305-223-2367
Fax Number : 305-675-0276
Authorized Official
Title or Position : ADMINITRATOR
Name : DENISE MARESMA
Credential :
Telephone Number : 305-984-9773
Provider Enumeration Date : 02/05/2020
Last Update Date : 08/13/2021

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Directions to “SILVER YEARS HEALTH CARE LLC ” Practice Location

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