Organization
I & G GROUP HOME/ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMOGENE JOHNSON (OWNER)
(754) 234-4357
Entity
Organization
Contact information
Practice address
6560 HARBOUR RD, NORTH LAUDERDALE, FL 33068-3838
(754) 234-4357
Mailing address
6560 HARBOUR RD, NORTH LAUDERDALE, FL 33068-3838
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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