| Organization Name: | ST. ANNES NURSING CENTER ST. ANNES RESIDENCE INC. |
| NPI Number: | 1104814979 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES EDWARD WILSON (CHIEF PRIVACY OFFICER) |
| Mailing Address: | 11855 Quail Roost Dr Miami |
| State: | FL US |
| Postal Code: | 331773956 |
| Phone Number: | 9547396233 |
| Fax Number: | 9547331532 |
| NPI Enumeration Date: | 10/06/2005 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | SNF1515096 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |