10D1032984 CLIA NUMBER - HCR MANOR CARE SERVICES OF FLORIDA III INC DBA HEARTLAND HOSPICE SERVICES

Laboratory Demographics

CLIA Number: 10D1032984

Facility Name: HCR MANOR CARE SERVICES OF FLORIDA III INC DBA HEARTLAND HOSPICE SERVICES

Facility Address:
150 S PINE ISLAND RD STE 540
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 467-7423

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1669768594

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 10D1032984
LAB Type Hospice
Facility Name HCR MANOR CARE SERVICES OF FLORIDA III INC DBA HEARTLAND HOSPICE SERVICES
Street 150 S PINE ISLAND RD STE 540
City PLANTATION
State FL
ZIP 33324
Phone 954 467-7423
CertificateType 4
CertificateEffectiveDate 11/2/2022
CertificateExpirationDate 11/1/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024