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2065 Inc Dba Fort Lauderdale Retirement Home
Assisted Living Facility (Mental Illness) in Fort Lauderdale, Florida
NPI 1568880565

2065 Inc Dba Fort Lauderdale Retirement Home is an Assisted Living Facility (Mental Illness) based in Fort Lauderdale, FL and is specialized in Assisted Living, Mental Illness. 2065 Inc Dba Fort Lauderdale Retirement Home practices in Fort Lauderdale, FL. The NPI Number for 2065 Inc Dba Fort Lauderdale Retirement Home is 1568880565 and holds a License No. ALF6634 (Florida).

The current practice location address for 2065 Inc Dba Fort Lauderdale Retirement Home is 401 Se 12Th Ct, Fort Lauderdale, FL and can be reached out via phone at 954-270-6322 and via fax at 954-423-1674.

Location: 401 Se 12Th Ct, Fort Lauderdale, FL, 33316-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568880565
Provider Name
2065 Inc Dba Fort Lauderdale Retirement Home
Credential
Provider Entity Type
Organization
Address
401 Se 12Th Ct, Fort Lauderdale, FL, 33316-1919
Phone Number
954-270-6322
Fax Number
954-423-1674
Provider Enumeration Date
04/07/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
140290100 05 FL
institution
Provider Business Practice Location Address Details
Address
401 Se 12Th Ct
City
Fort Lauderdale
State
Florida
Zip
33316-1919
Phone Number
954-270-6322
Fax Number
954-423-1674
person
Provider Business Mailing Address Details
Address
401 Se 12Th Ct
City
Fort Lauderdale
State
Florida
Zip
33316-1919
Phone Number
954-270-6322
Fax Number
954-423-1674
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
ALF6634 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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