| Discipleship House 227 Llc | |
|
216 Ne 19th Ave Pompano Beach FL 33060-6743 | |
| (954) 294-5600 | |
| (772) 872-5287 |
| Full Name | Discipleship House 227 Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 216 Ne 19th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Kenneth Larry Johnson (PRESIDENT) |
| Authorized Official Contact | 9542945600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discipleship House 227 Llc 216 Ne 19th Ave Pompano Beach FL 33060-6743 Ph: (954) 294-5600 | Discipleship House 227 Llc 216 Ne 19th Ave Pompano Beach FL 33060-6743 Ph: (954) 294-5600 |
| NPI Number | 1679990337 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679990337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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