PMR LA HOLDING, LLC

MIAMI GARDENS, FL
NPI1700333689
Doing Business AsJENCARE SENIOR MEDICAL CENTER
Entity TypeOrganization
Authorized ContactDANIELLA HOUSTON
Credentialing
305-628-6117
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Additional Taxonomies332900000X Non-Pharmacy Dispensing Site
333600000X Pharmacy
(Licence: LA  PHY.007546-IR)
Enumeration Date2016-09-08
Last Update Date2024-07-19
Business Address
PMR LA HOLDING, LLC
1395 NW 167TH ST
MIAMI GARDENS, FL 33169-5710
Phone number: 305-628-6117
Mailing Address
PMR LA HOLDING, LLC
1395 NW 167TH ST
MIAMI GARDENS, FL 33169-5742
Phone number: 305-831-4760