Rose of Sharon Garden Alf

NPI #1285990762 in Sunrise, Florida

Provider Information

NPI Number
1285990762
Entity Type
Organization
Organization Name
Rose of Sharon Garden Alf
Primary Specialty
Health Maintenance Organization
Enumeration Date
Apr 9, 2012
Last Updated
Apr 9, 2012

Practice Location

Address
8400 NW 28 ST.
State
Florida
ZIP Code
33322
Phone
(954) 747-0869

Authorized Official

Name
MRS. MARLINE ROBERTS JACKSON, CNA, MA.
Title
ADMINISTRATOR
Phone
(954) 821-7511

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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