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Contact Information

CECROPIA S BALLARD LLC
1891 MYRICK RD
TALLAHASSEE, FL32303-4335
 Phone: 850-766-8286
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Assisted Living Facility

310400000X
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for CECROPIA S BALLARD LLC

NPI # 1962759738
LBN Legal business name CECROPIA S BALLARD LLC
Authorized official CECROPIA BALLARD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2012
Last updated 08/10/2012 - About 14 years ago
Identifiers
FL License # SW7996
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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