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NPI Code Detail

MEDICARE: SENIOR LIVING MEDICAID BILLING, LLC

MEDICARE: SENIOR LIVING MEDICAID BILLING, 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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1861099251
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR LIVING MEDICAID BILLING, LLC
Provider Business Mailing Address
First Line : 1688 MERIDIAN AVE STE 700
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2713
Country : US
Telephone Number : 800-425-9914
Fax Number :
Provider Business Practice Location Address
First Line : 1688 MERIDIAN AVE STE 700
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2713
Country : US
Telephone Number : 800-425-9914
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : EDUARDO CARVAJAL
Credential :
Telephone Number : 800-425-9914
Provider Enumeration Date : 10/08/2020
Last Update Date : 10/08/2020

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Directions to “SENIOR LIVING MEDICAID BILLING, LLC ” Practice Location

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