Healthcare Provider Details

I. General information

NPI: 1699705343
Provider Name (Legal Business Name): FAMILY RETIREMENT INN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 PARK LN
WEST PALM BEACH FL
33417-5952
US

IV. Provider business mailing address

1285 PARK LN
WEST PALM BEACH FL
33417-5952
US

V. Phone/Fax

Practice location:
  • Phone: 561-684-0099
  • Fax:
Mailing address:
  • Phone: 561-684-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number9085
License Number StateFL

VIII. Authorized Official

Name: MR. ARTHUR JOSEPH DREYER III
Title or Position: D.O.N.
Credential: LPN
Phone: 561-684-0099