Organization · Type 2 NPI
Shallom Manor Retirement
Assisted Living Facility · Lauderhill, FL
NPI number
1649404476
Active
Practice location
2771 NW 58th Ter
Lauderhill, FL 33313-2384
Fax (954) 717-2867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL5167 (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 1649404476
Shallom Manor Retirement's National Provider Identifier is 1649404476, issued on May 7, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lauderhill, FL. The record was last updated on May 7, 2009.