NPI 1013413194
Mary Jenkins
Practice location
- Address
- 5726 Washington St, Hollywood, FL 33023-1480
- Phone
- (786) 853-5386
- Mailing address
- 15751 NW 28th CT, Miami Gardens, FL 33054-2212
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1013413194
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Apr 2018
- Record last updated
- 5 Apr 2018
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.