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:
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:
707 S 19TH AVE APT 6 HOLLYWOOD, FL 33020 US
Tel: 954-921-8062 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | FL | 229831 |
X | 385HR2060X | Respite Care Facility Respite Care | FL | 229831 |
X | 385HR2065X | Respite Care Facility Respite Care | FL | 229831 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HOME MAKER AND COMPANION | 229831 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin