| Ann Storck Center, Inc. | |
|
1790 Sw 43rd Way Fort Lauderdale FL 33317-5701 | |
| (954) 584-8000 | |
| (954) 321-8863 |
| Full Name | Ann Storck Center, Inc. |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1790 Sw 43rd Way, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Tonita Gregory (DIRECTOR OF ACCOUNTING) |
| Authorized Official Contact | 9545848000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Storck Center, Inc. 1790 Sw 43rd Way Fort Lauderdale FL 33317-5701 Ph: (954) 584-8000 | Ann Storck Center, Inc. 1790 Sw 43rd Way Fort Lauderdale FL 33317-5701 Ph: (954) 584-8000 |
| NPI Number | 1730229212 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730229212 | NPI | - | NPPES |
| 024991296 | Medicaid | FL | |
| 028037201 | Medicaid | FL | |
| 019035000 | Medicaid | FL | |
| 028521800 | Medicaid | FL |
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