| NPI Details | |
|---|---|
| NPI | 1104814979 |
| Enumeration Date | 10/06/2005 |
| Last Updated | 10/25/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | CHARLES EDWARD CHARLES |
| Position | CHIEF PRIVACY OFFICER |
| Phone | (954) 739-6233 |
| Fax | (954) 733-1532 |
| Practice Location | |
|---|---|
| 11855 QUAIL ROOST DR MIAMI FL, 33177-3956, US |
|
| Phone | (954) 739-6233 |
| Fax | (954) 733-1532 |
| Business Location | |
|---|---|
| 11855 QUAIL ROOST DR MIAMI FL, 33177-3956, US |
|
| Phone | (954) 739-6233 |
| Fax | (954) 733-1532 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 310400000X |
| License State | Florida |
| License Number | SNF1515096 |
| Remove 1104814979 NPI Number | |
According to our database, St. Annes Nursing Center St. Annes Residence Inc. NPI is 1104814979, taxonomy code is 310400000X and license number is SNF1515096, license state is located at Florida. St. Annes Nursing Center St. Annes Residence Inc. physically located at 11855 Quail Roost Dr, Miami FL, 33177-3956. NPI Number 1033115704 has the healthcare provider type.
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1104814979 NPI number is provided on an as is basis without warranty of any kind. 1104814979 is maintained by the National Plan & Provider Enumeration System. The contents of St. Annes Nursing Center St. Annes Residence Inc. are for informational purposes only.
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