| NPI | 1417629692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEKEISHA S MORRISON Director 954-727-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-21 |