# MAINS'L FLORIDA, INC. DBA MAINS'L SERVICE,INC,

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235219833
- **Authorized official:** MRS. TERESA CAROL WILLIAMS (CEO & PRESIDENT)
- **Authorized official phone:** (954) 919-0321

## Contact information

- **Practice address:** 6100 HOLLYWOOD BLVD, HOLLYWOOD, FL 33024-7900
- **Practice address phone:** (954) 919-0321
- **Practice address fax:** (954) 919-0324
- **Mailing address:** 6100 HOLLYWOOD BLVD, HOLLYWOOD, FL 33024-7900
- **Mailing address phone:** (954) 919-0321
- **Mailing address fax:** (954) 919-0324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2262270 | FL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020
