Mj Pavillion Nectarway

LBN: Mj Pavillion Nectarway
Mj Pavillion Nectarway is an health care organization with primary practice located at 2289 Nectar Way , Oviedo FL 32765-3276. The organization recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Nursing & Custodial Care Facilities / Assisted Living Facility. Agencies / Foster Care Agency is the primary health care specialty. Mj Pavillion Nectarway can be contacted via phone (407) 542-5572, or through Tyrell, Joan via phone (407) 462-5613.

Contact Information

Primary practice address
2289 Nectar Way Oviedo FL 32765-3276
Phone: (407) 542-5572
Fax: (407) 542-5049
Website:
Map and Directions
Authorized official contact:
Name: Tyrell, Joan
Phone: (407) 462-5613

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1922748326
LBN Legal business name Mj Pavillion Nectarway
DBA Doing business as
Authorized official Tyrell, Joan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2022
Last updated Apr 1st, 2022 - about 3 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 1922748326 NPPES
Florida MEDICAID 1457601148
Florida MEDICAID 1851566905
Florida MEDICAID 13681

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