NPI 1003119686

I & G Assisted Living Facility

Organisation Assisted Living Facility North Lauderdale, FL

Practice location

Address: 6560 Harbour Rd, North Lauderdale, FL 33068-3838
Phone: (754) 234-4357

Authorised official

Name: Imogene Johnson
Title: Owner
Phone: (754) 234-4357

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL11032 (FL)

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Registry record

NPI: 1003119686
Entity type: Organization
NPI issued: 21 Dec 2010
Record last updated: 21 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.