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Shirley Gallagher
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Lauderdale, Florida
NPI 1164175329

Shirley Gallagher is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fort Lauderdale, FL. Shirley Gallagher practices in Fort Lauderdale, FL. The NPI Number for Shirley Gallagher is 1164175329 and holds a License No. (Florida).

The current practice location address for Shirley Gallagher is 708 Intracoastal Dr, Fort Lauderdale, FL and can be reached out via phone at 954-817-6107 and via fax at 954-530-7988.

Location: 708 Intracoastal Dr, Fort Lauderdale, FL, 33304-3621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164175329
Provider Name
Shirley Gallagher
Credential
Provider Entity Type
Individual
Gender
Female
Address
708 Intracoastal Dr, Fort Lauderdale, FL, 33304-3621
Phone Number
954-817-6107
Fax Number
954-530-7988
Provider Enumeration Date
01/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
708 Intracoastal Dr
City
Fort Lauderdale
State
Florida
Zip
33304-3621
Phone Number
954-817-6107
Fax Number
954-530-7988
person
Provider Business Mailing Address Details
Address
708 Intracoastal Dr
City
Fort Lauderdale
State
Florida
Zip
33304-3621
Phone Number
954-817-6107
Fax Number
954-530-7988
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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