MEDICARE: THE GARDEN OF HEALTH, 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
1	310400000X	Assisted Living Facility	AL10228	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558774919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GARDEN OF HEALTH, INC

Provider Business Mailing Address
First Line	:	1910 NE 56TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-2452
Country	:	US
Telephone Number	:	954-958-9757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 NE 56TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-2452
Country	:	US
Telephone Number	:	954-958-9757
Fax Number	:	954-938-5007

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DANIEL CARDOSO BRANCO
Credential	:
Telephone Number	:	954-958-9757

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	06/03/2014

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Directions to “THE GARDEN OF HEALTH, INC ” Practice Location

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