- Enrollment id
- O20080116000569
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1598945651
- Multiple npi flag
- N
- Ccn
- 105005
- Associate id
- 7214018159
- Organization name
- CORAL GABLES HOLDINGS LLC
- Doing business as name
- CORAL GABLES NURSING & REHABILITATION CENTER
- Incorporation date
- 2007-09-11
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CORAL GABLES NURSING AND REHABILITATION CENTER
- Address line 1
- 7060 SW 8TH STREET
- City
- MIAMI
- State
- FL
- Zip code
- 331444650