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Organization

ATENDA NURSING CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERLY BOURSIQUOT BSW (SOCIAL WORKER)
(305) 305-3857
Entity
Organization

Contact information

Practice address
2510 SCOTT STREET, HOLLYWOOD, FL 33020
(305) 305-3857
(954) 923-3205
Mailing address
2510 SCOTT ST, HOLLYWOOD, FL 33020-2357
(305) 305-3857
(954) 923-3205

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
310400000X
Assisted Living Facility
15426398
FL
311Z00000X
Custodial Care Facility
311Z00000X
FL

Other

Enumeration date
11/13/2009
Last updated
11/13/2009
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