Salem Villages Mrdd, Inc.
NPI #1760550297 in Gainesville, Florida
Provider Information
- NPI Number
- 1760550297
- Entity Type
- Organization
- Organization Name
- Salem Villages Mrdd, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Dec 9, 2010
Practice Location
- Address
- 529 NW 19TH ST
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32603-1509
- 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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