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ANNMARIE CAMPBELL ADULT FAMILY CARE HOME NPI 1154639243


NPI Information

NPI: 1154639243
Provider Name: ANNMARIE CAMPBELL ADULT FAMILY CARE HOME

Doing Business As: CAMPBELLS ADULT FAMILY CARE HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
320 PENNSYLVANIA AVE
FORT LAUDERDALE, FL
ZIP 33312
Phone: (954) 554-2916
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ANNMARIE CAMPBELL ADULT FAMILY CARE HOME is an assisted living facility in Fort Lauderdale, FL. The provider is 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. ANNMARIE CAMPBELL ADULT FAMILY CARE HOME NPI is 1154639243. The provider is registered as an organization entity type.
The provider Is Doing Business As Campbells Adult Family Care Home.

The provider's business location address is:

320 PENNSYLVANIA AVE
FORT LAUDERDALE, FL
ZIP 33312-835
Phone: (954) 554-2916

The provider's authorized official is Annmarie Campbell .
The authorized official title is Provider and has the following contact phone number (954) 554-2916.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility6906326FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001098700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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