Medley Social Club Inc

LBN: Medley Social Club Inc
Medley Social Club Inc is an health care organization with primary practice located at 7911 Nw 72Nd Ave Ste 108109 , Medley FL 33166-2227. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Medley Social Club Inc can be contacted via phone (786) 781-2013, or through Pino, Dayamanty via phone (786) 781-2013.

Contact Information

Primary practice address
7911 Nw 72Nd Ave Ste 108109 Medley FL 33166-2227
Phone: (786) 781-2013
Fax: (305) 887-1092
Website:
Map and Directions
Authorized official contact:
Name: Pino, Dayamanty
Phone: (786) 781-2013

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1316551062
LBN Legal business name Medley Social Club Inc
DBA Doing business as
Authorized official Pino, Dayamanty
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2020
Last updated Sep 1st, 2020 - about 4 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 1316551062 NPPES
Florida MEDICAID 9454

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