NPI 1114433232

Emerald Manor LLC

Organisation Assisted Living Facility North Miami, FL

Practice location

Address: 12221 W Dixie Hwy, North Miami, FL 33161-5427
Phone: (914) 548-7617
Fax: (914) 633-1620
Mailing address: 22 Regal Dr, New Rochelle, NY 10804-1202

Authorised official

Name: Steven Bicky
Title: Manager
Phone: (914) 548-7617

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1114433232
Entity type: Organization
NPI issued: 27 Dec 2017
Record last updated: 27 Dec 2017

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.