NPI 1104994672
Salem Villages Mrdd, INC.
Practice location
- Address
- 5321 SE 107th Pl, Belleview, FL 34420-3231
- Phone
- (352) 372-0130
- Mailing address
- 10140 Linn Station Rd, Louisville, KY 40223-3813
Authorised official
- Name
- Deena Ombres
- Title
- Privacy Officer
- Phone
- (502) 394-2387
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1104994672
- Entity type
- Organization
- NPI issued
- 1 Dec 2006
- Record last updated
- 23 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.