| Grand Living 21, Llc | |
|
3692 Grand Ave Coconut Grove FL 33133-4953 | |
| (305) 668-7858 | |
| Not Available |
| Full Name | Grand Living 21, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3692 Grand Ave, Coconut Grove, Florida |
| Authorized Official Name and Position | Raymond G Weisbein (MANAGER) |
| Authorized Official Contact | 3056687858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Living 21, Llc 3692 Grand Ave Coconut Grove FL 33133-4953 Ph: (305) 668-7858 | Grand Living 21, Llc 3692 Grand Ave Coconut Grove FL 33133-4953 Ph: (305) 668-7858 |
| NPI Number | 1932520038 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932520038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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