Salem Villages Mrdd, Inc.

NPI #1104994672 in Belleview, Florida

Provider Information

NPI Number
1104994672
Entity Type
Organization
Organization Name
Salem Villages Mrdd, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Dec 1, 2006
Last Updated
Sep 23, 2010

Practice Location

Address
5321 SE 107TH PL
State
Florida
ZIP Code
34420-3231
Phone
(352) 372-0130

Authorized Official

Name
MS. DEENA OMBRES
Title
PRIVACY OFFICER
Phone
(502) 394-2387

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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