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Beatrice Poulard Eustache
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Lauderdale, Florida
NPI 1649042292

Beatrice Poulard Eustache is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fort Lauderdale, FL. Beatrice Poulard Eustache practices in Fort Lauderdale, FL. The NPI Number for Beatrice Poulard Eustache is 1649042292 and holds a License No. (Florida).

The current practice location address for Beatrice Poulard Eustache is 413 Nw 23Rd Ave, Fort Lauderdale, FL and can be reached out via phone at 331-302-2223 and via fax at 954-990-8668.

Location: 413 Nw 23Rd Ave, Fort Lauderdale, FL, 33311-7766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649042292
Provider Name
Beatrice Poulard Eustache
Credential
Provider Entity Type
Individual
Gender
Female
Address
413 Nw 23Rd Ave, Fort Lauderdale, FL, 33311-7766
Phone Number
331-302-2223
Fax Number
954-990-8668
Provider Enumeration Date
10/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 Nw 23Rd Ave
City
Fort Lauderdale
State
Florida
Zip
33311-7766
Phone Number
331-302-2223
Fax Number
954-990-8668
person
Provider Business Mailing Address Details
Address
413 Nw 23Rd Ave
City
Fort Lauderdale
State
Florida
Zip
33311-7766
Phone Number
331-302-2223
Fax Number
954-990-8668
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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