Healthcare Provider Details

I. General information

NPI: 1386818094
Provider Name (Legal Business Name): H & C RETIREMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 04/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 NW 27TH CT
LAUDERHILL FL
33313-2307
US

IV. Provider business mailing address

5605 NW 27TH CT
LAUDERHILL FL
33313-2307
US

V. Phone/Fax

Practice location:
  • Phone: 954-733-1840
  • Fax: 954-484-5061
Mailing address:
  • Phone: 954-733-1840
  • Fax: 954-484-5061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: MAYRA PUIGNAU
Title or Position: PRESIDENT
Credential:
Phone: 305-216-3084