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Rosana Theophin
Adult Care Home Facility in Fort Lauderdale, Florida
NPI 1982115093

Rosana Theophin is an Adult Care Home Facility based in Fort Lauderdale, FL and is specialized in Adult Care Home. Rosana Theophin practices in Fort Lauderdale, FL. The NPI Number for Rosana Theophin is 1982115093 and holds a License No. 6906874 (Florida).

The current practice location address for Rosana Theophin is 4561 Nw 10Th Ave, Fort Lauderdale, FL and can be reached out via phone at 954-683-7155.

Location: 4561 Nw 10Th Ave, Fort Lauderdale, FL, 33309-3869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982115093
Provider Name
Rosana Theophin
Credential
Provider Entity Type
Individual
Gender
Female
Address
4561 Nw 10Th Ave, Fort Lauderdale, FL, 33309-3869
Phone Number
954-683-7155
Fax Number
Provider Enumeration Date
10/16/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4561 Nw 10Th Ave
City
Fort Lauderdale
State
Florida
Zip
33309-3869
Phone Number
954-683-7155
Fax Number
person
Provider Business Mailing Address Details
Address
4561 Nw 10Th Ave
City
Fort Lauderdale
State
Florida
Zip
33309-3869
Phone Number
954-683-7155
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906874 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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