Organization
HEARTLAND OF TAMARAC FL LLC
Active
Other names
Heartland of Tamarac
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
5901 NW 79TH AVE, TAMARAC, FL 33321-4639
(954) 722-7001
(954) 720-5419
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
SNF12150962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032535000
—
FL
Enumeration date
05/30/2006
Last updated
06/16/2017
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