Fountain Of Life Community Development Center | |
6741 Pembroke Rd Pembroke Pines FL 33023-2143 | |
(954) 391-6080 | |
(954) 391-6081 |
Full Name | Fountain Of Life Community Development Center |
---|---|
Speciality | Community/behavioral Health |
Location | 6741 Pembroke Rd, Pembroke Pines, Florida |
Authorized Official Name and Position | Sherron Parrish (CEO) |
Authorized Official Contact | 9543916080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fountain Of Life Community Development Center 6741 Pembroke Rd Pembroke Pines FL 33023-2143 Ph: (954) 391-6080 | Fountain Of Life Community Development Center 6741 Pembroke Rd Pembroke Pines FL 33023-2143 Ph: (954) 391-6080 |
NPI Number | 1104194356 |
---|---|
Provider Enumeration Date | 12/02/2011 |
Last Update Date | 12/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104194356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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