MEDICARE: SAINT CYRIL 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	AL9568	FL

General Provider Information

NPI Number	:	1629247002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT CYRIL INC

Provider Business Mailing Address
First Line	:	1320 SW 26TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-2346
Country	:	US
Telephone Number	:	954-524-7233
Fax Number	:	954-524-8715

Provider Business Practice Location Address
First Line	:	1320 SW 26TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-2346
Country	:	US
Telephone Number	:	954-524-7233
Fax Number	:	954-524-8715

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID HELMY GUIRGUIS
Credential	:
Telephone Number	:	954-647-8859

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	02/29/2008

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Directions to “SAINT CYRIL INC ” Practice Location

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