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General NPI Number Information
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NPI Number | 1942412614
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Entity Type | Organization
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Legal Business Name | FLORIDA PREFERRED CARE HEALTH FACILITIES III, INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 1101 54TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2419
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Country | US
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Telephone | 305-992-7765
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Fax | 305-868-2304
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Provider Business Mailing Address
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Address Line | 5420 W PLANO PKWY
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City | PLANO
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State | TX
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Zip | 75093-4823
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Country | US
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Telephone | 972-931-3800
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Fax | 972-767-6222
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | MRS. JAMIE LATTURE COLLIER
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Credential |
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Telephone | 972-931-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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