Organization
DESTINATIONAL TO HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY A HARRISON (CEO)
(954) 730-0728
Entity
Organization
Contact information
Practice address
3380 NW 18TH PL, LAUDERHILL, FL 33311-4236
(954) 730-0728
(954) 633-7146
Mailing address
3380 NW 18TH PL, LAUDERHILL, FL 33311-4236
(954) 730-0728
(954) 633-7146
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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