Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Manor, memorial manor nursing home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON HENNEMYRE NHA (ADMINISTRATOR)
(954) 276-6201
Entity
Organization
Contact information
Practice address
777 S DOUGLAS RD, PEMBROKE PINES, FL 33025-1353
(954) 431-1100
(954) 443-4798
Mailing address
777 S DOUGLAS RD, PEMBROKE PINES, FL 33025-1353
(954) 431-1100
(954) 443-4798
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1342096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020100600
—
FL
Enumeration date
05/31/2005
Last updated
01/23/2019
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