Organization
ANGEL PEDIATRIC HEALTH CARE FACILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRA A. WEISS BOGACZ R.N. (PRESIDENT)
(954) 332-0752
Entity
Organization
Contact information
Practice address
2589 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-2778
(954) 322-0752
Mailing address
2589 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-2778
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
60080978
FL
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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