Organization
BLACK FAMILY HERITAGE ESTATES MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA THOMPSON (REGISTERED NURSE)
(954) 625-4772
Entity
Organization
Contact information
Practice address
3465 NW 43RD PL, LAUDERDALE LAKES, FL 33309-4240
(954) 625-4772
Mailing address
3465 NW 43RD PL, LAUDERDALE LAKES, FL 33309-4240
(954) 625-4772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
208D00000X
General Practice Physician
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
Update your record
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