Organization
COMMUNITY ACCESS SERVICE
Active
Other names
Marryshow House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEA DUNCAN RICHARDSON (PRESIDENT)
(954) 234-2364
Entity
Organization
Contact information
Practice address
2141 NW 63RD AVE, SUNRISE, FL 33313-2915
(954) 234-2364
(954) 234-2595
Mailing address
3810 INVERRARY BLVD, SUITE 408, LAUDERHILL, FL 33319-4356
(954) 234-2364
(954) 234-2595
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006136900
—
FL
05
—
111190100
—
FL
Enumeration date
12/21/2009
Last updated
02/25/2022
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