Organization · NPI-2

Dominion Health Services

Case Management · Plantation, FL

NPI number1376937862
StatusActive
Last updated in NPPESMar 24, 2015

Details

NPI
1376937862
Entity type
Organization (NPI-2)
Legal business name
Dominion Health Services
Organization subpart
No
Enumeration date
Mar 24, 2015
Last updated
Mar 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

5651 Sw 2nd St
Plantation, FL 33317-3568

Phone 954-993-5286 · Fax 954-999-0675

Mailing address

5651 Sw 2nd St
Plantation, FL 33317-3568

Phone 954-993-5286 · Fax 954-999-0675

Authorized official

Shaliz Williams-Pierre
Managing Member
9549935286

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