Organization
REBECCA'S HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENNSY FISHLEY (ADMINISTRATOR)
(954) 748-8487
Entity
Organization
Contact information
Practice address
6711 NW 46TH CT, LAUDERHILL, FL 33319-4022
(954) 748-8487
Mailing address
6711 NW 46TH CT, LAUDERHILL, FL 33319-4022
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10610
AHCA
FL
Enumeration date
05/25/2012
Last updated
05/25/2012
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