NPI 1467520635

Salem Villages Mrdd, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Lake City, FL

Practice location

Address: 930 SW Spring Ln, Lake City, FL 32025-5082
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

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Florida →

Registry record

NPI: 1467520635
Entity type: Organization
NPI issued: 4 Dec 2006
Record last updated: 4 Nov 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.