SOUTH BROWARD HOSPITAL DISTRICT
Skilled Nursing Facility
Pembroke Pines, Florida
Provider NPI: 1114920584
Organization Information:Organization Name: SOUTH BROWARD HOSPITAL DISTRICT
Practice Location:
777 S DOUGLAS RD PEMBROKE PINES, FL 33025 US
Tel: 954-431-1100 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:
777 S DOUGLAS RD PEMBROKE PINES, FL 33025 US
Tel: 954-431-1100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF1342096 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
020100600 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin