<Unavail>

LBN: Mj Childrens Pavillion, Ins
<Unavail> is an health care organization with primary practice located at 728 S Endeavour Dr , Winter Springs FL 32708-5167. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Mj Childrens Pavillion, Ins can be contacted via phone (407) 699-4255, or through Tyrell, Joan via phone (407) 699-4255.

Contact Information

Primary practice address
728 S Endeavour Dr Winter Springs FL 32708-5167
Phone: (407) 699-4255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tyrell, Joan
Phone: (407) 699-4255

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12589 Florida

Profile Details

NPI number 1316336266
LBN Legal business name Mj Childrens Pavillion, Ins
DBA Doing business as <Unavail>
Authorized official Tyrell, Joan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 15th, 2015
Last updated Jan 15th, 2015 - about 11 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 1316336266 NPPES
Florida MEDICAID 1457601148

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