| NPI | 1568880565 |
|---|---|
| Doing Business As | FORT LAUDERDALE RETIREMENT HOME |
| Entity Type | Organization |
| Authorized Contact | JACKIE HENRY HEATH Administrator/Owner 954-270-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL ALF6634) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |