Organization · Type 2 NPI
Potter's House at Cannon Point, Inc
Assisted Living Facility · Lauderhill, FL
NPI number
1477064095
Active
Practice location
5820 5830 NW 27th Ct
Lauderhill, FL 33313-2330
Fax (954) 733-2993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL10434 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1477064095
Potter's House at Cannon Point, Inc's National Provider Identifier is 1477064095, issued on Oct 23, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lauderhill, FL. The record was last updated on Oct 23, 2017.