| NPI | 1821165192 |
|---|---|
| Doing Business As | STUIE MANOR |
| Entity Type | Organization |
| Authorized Contact | MARIE-STUART DERAVILE President 954-742-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 10-1215GH) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL 10-1215GH) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-03-24 |