Individual provider · Type 1 NPI
Rosana Theophin
Adult Care Home Facility · Fort Lauderdale, FL
NPI number
1982115093
Active
Practice location
4561 NW 10th Ave
Fort Lauderdale, FL 33309-3869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6906874 (FL) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1982115093
Rosana Theophin's National Provider Identifier is 1982115093, issued on Oct 16, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 16, 2017.