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Organization
CEREBRAL PALSY ADULT HOME, INC.
Active
Organization
CEREBRAL PALSY ADULT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA FAYE LINVILLE (EXECUTIVE DIRECTOR)
(954) 786-0344
Entity
Organization
Contact information
Practice address
1405 NW 10TH ST, DANIA, FL 33004-2342
(954) 786-0344
(954) 785-6635
Mailing address
1001 NE 3RD AVE, POMPANO BEACH, FL 33060-5712
(965) 786-0344
(954) 785-6635
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
10-1454GH
FL
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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