NPI 1104260637

South Oaks Assisted Living Home LLC

Organisation Assisted Living Facility Miramar, FL

Practice location

Address: 6141 SW 34th St, Miramar, FL 33023-5129
Phone: (954) 983-7996
Fax: (954) 391-9627

Authorised official

Name: Bernard Everton Thomas
Title: Owner
Phone: (954) 983-7996

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL5855 (FL)

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Registry record

NPI: 1104260637
Entity type: Organization
NPI issued: 26 Apr 2013
Record last updated: 26 Apr 2013

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.