Provider Demographics
NPI:1164688651
Name:COUNT & COUNTESS DE HOERNLE ALZHEIMER'S PAVILION
Entity Type:Organization
Organization Name:COUNT & COUNTESS DE HOERNLE ALZHEIMER'S PAVILION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-420-0704
Mailing Address - Street 1:325 NW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1971
Mailing Address - Country:US
Mailing Address - Phone:954-420-0704
Mailing Address - Fax:954-419-9943
Practice Address - Street 1:325 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1971
Practice Address - Country:US
Practice Address - Phone:954-420-0704
Practice Address - Fax:954-419-9943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL8415310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility