Organization
MAINSL FLORIDA INC.
Active
Other names
Mainsl Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA OLSON (VICE PRESIDENT)
(763) 416-9108
Entity
Organization
Contact information
Practice address
6100 HOLLYWOOD BLVD STE 211, HOLLYWOOD, FL 33024-7981
(954) 919-0321
(954) 919-0324
Mailing address
6100 HOLLYWOOD BLVD STE 211, HOLLYWOOD, FL 33024-7981
(954) 919-0321
(954) 919-0324
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2262270
FL
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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