Abbiejean Russell Care Center, Llc

LBN: Abbiejean Russell Care Center, Llc
Abbiejean Russell Care Center, Llc is an health care organization with primary practice located at 700 S 29Th St , Fort Pierce FL 34947-3626. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Abbiejean Russell Care Center, Llc can be contacted via phone (772) 465-7560, or through Gonzalez, Maria Elva via phone (786) 385-4364.

Contact Information

Primary practice address
700 S 29Th St Fort Pierce FL 34947-3626
Phone: (772) 465-7560
Fax: (772) 465-5619
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Maria Elva
Phone: (786) 385-4364

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF10020961 Florida

Profile Details

NPI number 1770595738
LBN Legal business name Abbiejean Russell Care Center, Llc
DBA Doing business as
Authorized official Gonzalez, Maria Elva
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 31st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770595738 NPPES
Florida MEDICAID 026875500
Florida Other M4K

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