Organization
GENA'S RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENA ACKBERSINGH (PRESIDENT)
(954) 452-4416
Entity
Organization
Contact information
Practice address
2233 NW 56 AVE, LAUDERHILL, FL 33313
(954) 452-4416
Mailing address
2233 NW 56TH AVE, LAUDERHILL, FL 33313-3003
(954) 733-9614
(954) 733-9614
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
4973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140321400
—
FL
Enumeration date
09/27/2013
Last updated
09/27/2013
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