| NPI | 1053921940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA HAMILTON Owner 954-696-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 104100000X Social Worker |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 225100000X Physical Therapist | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 310400000X Assisted Living Facility | |
| 363L00000X Nurse Practitioner | |
| 372600000X Adult Companion | |
| 376G00000X Nursing Home Administrator | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |