I & G Assisted Living Facility

NPI 1003119686 - Assisted Living Facility - 310400000X

NPI Details
NPI 1003119686
Enumeration Date 12/21/2010
Last Updated 12/21/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name IMOGENE IMOGENE
Position OWNER
Phone (754) 234-4357
Fax
Practice Location
6560 HARBOUR RD
NORTH LAUDERDALE FL, 33068-3838, US
Phone (754) 234-4357
Fax
Business Location
6560 HARBOUR RD
NORTH LAUDERDALE FL, 33068-3838, US
Phone (754) 234-4357
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL11032
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According to our database, I & G Assisted Living Facility NPI is 1003119686, taxonomy code is 310400000X and license number is AL11032, license state is located at Florida. I & G Assisted Living Facility physically located at 6560 Harbour Rd, North Lauderdale FL, 33068-3838. NPI Number 1033115704 has the healthcare provider type.

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1003119686 NPI number is provided on an as is basis without warranty of any kind. 1003119686 is maintained by the National Plan & Provider Enumeration System. The contents of I & G Assisted Living Facility are for informational purposes only.