| NPI | 1245791581 |
|---|---|
| Doing Business As | DEDICATED SENIOR MEDICAL CENTER WEST BROAD ST |
| Entity Type | Organization |
| Authorized Contact | MARY CHEN Owner 305-628-6117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-04-03 |