| NPI | 1326779885 |
|---|---|
| Doing Business As | DEDICATED SENIOR MEDICAL CENTER FAIRWOLD |
| Entity Type | Organization |
| Authorized Contact | MARY CHEN Authorized Official 786-618-7245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-02-01 |