Provider Demographics
NPI:1215202478
Name:RANMAR GARDENS
Entity Type:Organization
Organization Name:RANMAR GARDENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTATIVE
Authorized Official - Phone:954-491-7396
Mailing Address - Street 1:1454 NE 56TH ST
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-6112
Mailing Address - Country:US
Mailing Address - Phone:954-491-7396
Mailing Address - Fax:954-667-0042
Practice Address - Street 1:1454 NE 56TH ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-6112
Practice Address - Country:US
Practice Address - Phone:954-491-7396
Practice Address - Fax:954-667-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
FLAL5552323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility