| NPI | 1083092456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA THOMPSON Trustee 954-625-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 208D00000X General Practice |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 314000000X Skilled Nursing Facility | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |