West Broward Group, L.L.C. (Through 6/29/08)
Skilled Nursing Facility in Plantation, FL. Organization (NPI-2).
NPI number1114914165
StatusActive
Last updated in NPPESMay 26, 2009
Details
- NPI
- 1114914165
- Entity type
- Organization (NPI-2)
- Legal business name
- West Broward Group, L.L.C. (Through 6/29/08)
- Organization subpart
- No
- Enumeration date
- Oct 4, 2005
- Last updated
- May 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF1028096 | FL | Yes |
Other names
- West Broward Care Center (Doing Business As)
Practice location
7751 W Broward BlvdPlantation, FL 33324-2003
Phone 954-473-8040 · Fax 954-473-0897
Mailing address
7751 W Broward BlvdPlantation, FL 33324-2003
Phone 954-473-8040 · Fax 954-473-0897
Authorized official
Nelson Robaina
Reimbursement
3058649191
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