I & G Group Home/Alf, INC
Case Management in North Lauderdale, FL. Organization (NPI-2).
NPI number1508296211
StatusActive
Last updated in NPPESNov 15, 2013
Details
- NPI
- 1508296211
- Entity type
- Organization (NPI-2)
- Legal business name
- I & G Group Home/Alf, INC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2013
- Last updated
- Nov 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
6560 Harbour RdNorth Lauderdale, FL 33068-3838
Phone 754-234-4357
Mailing address
6560 Harbour RdNorth Lauderdale, FL 33068-3838
Authorized official
Imogene Johnson
Owner
7542344357
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