Organization
MAINS'L FLORIDA, INC. DBA MAINS'L SERVICE,INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA CAROL WILLIAMS (CEO & PRESIDENT)
(954) 919-0321
Entity
Organization
Contact information
Practice address
6100 HOLLYWOOD BLVD, HOLLYWOOD, FL 33024-7900
(954) 919-0321
(954) 919-0324
Mailing address
6100 HOLLYWOOD BLVD, HOLLYWOOD, FL 33024-7900
(954) 919-0321
(954) 919-0324
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2262270
FL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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