Rosana Theophin
Custodial Care Facility, Adult Care Home in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1982115093
StatusActive
Last updated in NPPESOct 16, 2017
Details
- NPI
- 1982115093
- Entity type
- Individual (NPI-1)
- Name
- Rosana Theophin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2017
- Last updated
- Oct 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 6906874 | FL | Yes |
Practice location
4561 Nw 10th AveFort Lauderdale, FL 33309-3869
Phone 954-683-7155
Mailing address
4561 Nw 10th AveFort Lauderdale, FL 33309-3869
Phone 954-683-7155
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