MEDICARE: THE JOSEPH MEYERHOFF SENIOR CENTER

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	261QA0600X	Adult Day Care Clinic/Center	638	FL

General Provider Information

NPI Number	:	1861745747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE JOSEPH MEYERHOFF SENIOR CENTER

Provider Business Mailing Address
First Line	:	3081 TAFT STREET
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021
Country	:	US
Telephone Number	:	954-966-9805
Fax Number	:

Provider Business Practice Location Address
First Line	:	3081 TAFT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-4461
Country	:	US
Telephone Number	:	954-966-9805
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. BETH A ALLEN
Credential	:	MS
Telephone Number	:	954-966-9805

Provider Enumeration Date	:	10/17/2012
Last Update Date	:	10/17/2012

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