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NPI Code Detail

MEDICARE: HOLY CROSS LONG TERM CARE INC.

MEDICARE: HOLY CROSS LONG TERM CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF13600961FL

General Provider Information

NPI Number : 1326130410
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLY CROSS LONG TERM CARE INC.
Provider Business Mailing Address
First Line : 2331 NE 53RD ST
Second Line : MERCY MANOR NORTH
City : FT. LAUDERDALE
State : FL
Zip : 33308
Country : US
Telephone Number : 954-771-0739
Fax Number : 954-771-1142
Provider Business Practice Location Address
First Line : 2331 NE 53RD ST
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33308-3235
Country : US
Telephone Number : 954-771-0739
Fax Number : 954-771-1142
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. GRETCHEN WARD
Credential :
Telephone Number : 954-771-0739
Provider Enumeration Date : 09/28/2006
Last Update Date : 08/22/2020

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Directions to “HOLY CROSS LONG TERM CARE INC. ” Practice Location

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