Organization
CEREBRAL PALSY ADULT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA FAYE LINVILLE (EXECUTIVE DIRECTOR)
(954) 786-0344
Entity
Organization
Contact information
Practice address
1405 NW 10TH ST, DANIA, FL 33004-2342
(954) 786-0344
(954) 785-6635
Mailing address
1001 NE 3RD AVE, POMPANO BEACH, FL 33060-5712
(965) 786-0344
(954) 785-6635
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
10-1454GH
FL
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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