Organization
PROFESSIONAL CARE FACILITY ALF
Active
Organization
PROFESSIONAL CARE FACILITY ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE JOHNSON (ADMINISTRATOR)
(954) 682-2155
Entity
Organization
Contact information
Practice address
5515 SW 8TH ST, MARGATE, FL 33068-2928
(954) 682-2155
Mailing address
5515 SW 8TH ST, MARGATE, FL 33068-2928
(954) 682-2155
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
12012
FL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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