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PRIORITY LIFE SERVICES, CORP

Intermediate Care Facility, Mental Illness

Hollywood, Florida

Provider NPI: 1699802207

Organization Information:
Organization Name:  PRIORITY LIFE SERVICES, CORP


Practice Location:
707 S 19TH AVE APT 6  HOLLYWOOD, FL 33020 US
Tel: 954-921-8062  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
FL229831
X385HR2060XRespite Care Facility
Respite Care
FL229831
X385HR2065XRespite Care Facility
Respite Care
FL229831

Other Provider Identifiers:

IssuerNumberStateType
HOME MAKER AND COMPANION229831FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS FL - Page 1



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