NPI | 1134116320 |
---|---|
Doing Business As | JACKSON MEMORIAL LONG TERM CARE CENTER |
Entity Type | Organization |
Authorized Contact | CARLOS MIGOYA CEO 305-585-3701 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1243096) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2023-03-09 |