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AUDREY'S TLC II

Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness

Provider NPI: 1386942027

Organization Information:
Organization Name:  AUDREY'S TLC II
Organization is not Subpart
Authorized Official:  AUDREY BEVERLY THORPE  OWNER/ADMINISTRATOR  754-368-9993

Practice Location:
6808 MERION PL  N LAUDERDALE, FL 33068-3706 US
Tel: 754-368-9993  Fax: 754-368-9993

Business Mailing Address:
6808 MERION PL  N LAUDERDALE, FL 33068-3706 US
Tel: 754-368-9993  Fax: 754-368-9993

NPI Information:
NPI: 1386942027
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
FLAL11943

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 3104A0625X

Type:

Classification:



Definition:



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