| NPI | 1306227293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA THOMPSON Registered Nurse 954-625-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 208D00000X General Practice | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |