| Professional Retirement Home, Inc | |
|
1900 Sw 51st Ter Plantation FL 33317-5416 | |
| (954) 587-2198 | |
| (954) 533-3621 |
| Full Name | Professional Retirement Home, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1900 Sw 51st Ter, Plantation, Florida |
| Authorized Official Name and Position | Daphne D Campbell (PRESIDENT/CEO) |
| Authorized Official Contact | 9545872198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Retirement Home, Inc 1900 Sw 51st Ter Plantation FL 33317-5416 Ph: (954) 587-2198 | Professional Retirement Home, Inc 1900 Sw 51st Ter Plantation FL 33317-5416 Ph: (954) 587-2198 |
| NPI Number | 1508020710 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508020710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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