Organization · Type 2 NPI

HCR Manor Care Services of Florida Iii, LLC

Community Based Hospice Care Agency · Hallandale Beach, FL

NPI number 1174269633 Active

Practice location

134 S Dixie Hwy Ste 207
Hallandale Beach, FL 33009-5434

Call (954) 467-7423 Map

Mailing address

PO Box 10086
Toledo, OH 43699-0086

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

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NPI record

NPI: 1174269633
Entity type: Organization (Type 2)
Issued: May 9, 2022
Last updated: May 9, 2022
Status: Active
Subpart: Yes of HCR Manor Care Services of Florida Iii, LLC

Other names

Promedica Hospice (broward) · doing business as

Authorized official

Martin David Allen
Director
(419) 252-5734

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174269633

HCR Manor Care Services of Florida Iii, LLC's National Provider Identifier is 1174269633, issued on May 9, 2022. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Hallandale Beach, FL. The record was last updated on May 9, 2022.