Organization
HOME SWEET HOME ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOAN M SIMPSON (ADMINISTRATOR)
(954) 692-4236
Entity
Organization
Contact information
Practice address
6981 COOLIDGE ST, HOLLYWOOD, FL 33024-3817
(954) 692-4236
(954) 964-5511
Mailing address
6981 COOLIDGE ST, HOLLYWOOD, FL 33024-3817
(954) 692-4236
(954) 964-5511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007359000
—
FL
Enumeration date
08/21/2013
Last updated
08/21/2013
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