| Broward House, Inc. | |
|
501 Se 18th Ct Fort Lauderdale FL 33316-2833 | |
| (954) 523-9454 | |
| (954) 523-7622 |
| Full Name | Broward House, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 Se 18th Ct, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Stacy Hyde (PRESIDENT/CEO) |
| Authorized Official Contact | 9545224749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward House, Inc. 1726 Se 3rd Ave Fort Lauderdale FL 33316-2514 Ph: (954) 522-4749 | Broward House, Inc. 501 Se 18th Ct Fort Lauderdale FL 33316-2833 Ph: (954) 523-9454 |
| NPI Number | 1033391727 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033391727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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