FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Alzheimer Center
Pembroke Pines, Florida
Provider NPI: 1417949579
Organization Information:Organization Name: FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Practice Location:
8401 W CYPRESS DR PEMBROKE PINES, FL 33025 US
Tel: 954-985-4824 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8401 W CYPRESS DR PEMBROKE PINES, FL 33025 US
Tel: 954-985-4824 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | FL | SNF130471019 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF130471019 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
022984900 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin