Organization
ANNIE'S RETIREMENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA MARIA LLAZA (ADMINISTRATOR)
(954) 772-6551
Entity
Organization
Contact information
Practice address
1650 NE 62ND ST, FORT LAUDERDALE, FL 33334-5140
(954) 772-6551
Mailing address
1650 NE 62ND STREET, FORT LAUDERDALE, FL 33334
(954) 772-6551
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017156100
—
FL
Enumeration date
06/10/2016
Last updated
06/10/2016
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