Organization Name: | EAST RIDGE RETIREMENT VILLAGE, INC. |
NPI Number: | 1649255761 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN S. GARWOOD (SECRETARY OF BOARD OF DIRECTORS) |
Mailing Address: | 19225 Sw 87th Ave Cutler Bay |
State: | FL US |
Postal Code: | 331578984 |
Phone Number: | 3052382623 |
Fax Number: | 3052563516 |
NPI Enumeration Date: | 12/13/2005 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL6091 |
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. |