Organization
SHALLOM MANOR RETIREMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMINS H HENRY (PRESIDENT)
(954) 485-0901
Entity
Organization
Contact information
Practice address
2771 NW 58TH TER, LAUDERHILL, FL 33313-2384
(954) 485-0901
(954) 717-2867
Mailing address
2771 NW 58TH TER, LAUDERHILL, FL 33313-2384
(954) 485-0901
(954) 717-2867
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5167
FL
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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