Organization
SOMH FORT LAUDERDALE OPERATING, LLC
Active
Other names
The Meridian at Waterways
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JAMES VAUGHN (REIMBURSEMENT ANALYST)
(202) 595-6025
Entity
Organization
Contact information
Practice address
3001 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1806
(754) 212-3249
(954) 566-0293
Mailing address
3001 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1806
(754) 212-3249
(954) 566-0293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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