Organization
HOMECARE VILLA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ARTHUR (OWNER)
(954) 224-9677
Entity
Organization
Contact information
Practice address
9039 NW 20TH MNR, CORAL SPRINGS, FL 33071-6138
(954) 224-9677
(954) 753-3090
Mailing address
9039 NW 20TH MNR, CORAL SPRINGS, FL 33071-6138
(954) 224-9677
(954) 753-3090
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
AL10898
FL
310400000X
Assisted Living Facility
Primary
AL10898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007872000
—
FL
Enumeration date
07/18/2016
Last updated
07/18/2016
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