Grand Living 21, LLC
NPI #1932520038 in Coconut Grove, Florida
Provider Information
- NPI Number
- 1932520038
- Entity Type
- Organization
- Organization Name
- Grand Living 21, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 17, 2013
- Last Updated
- Dec 17, 2013
Practice Location
- Address
- 3692 GRAND AVE
- City
- Coconut Grove
- State
- Florida
- ZIP Code
- 33133-4953
- Phone
- (305) 668-7858
Authorized Official
- Name
- RAYMOND G WEISBEIN
- Title
- MANAGER
- Phone
- (305) 668-7858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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