Provider Demographics
NPI:1396183216
Name:SARAH'S CARE ALF
Entity Type:Organization
Organization Name:SARAH'S CARE ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:VULEGANI
Authorized Official - Last Name:SHIGALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-502-0083
Mailing Address - Street 1:2094 EASR CAROL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WESTPALM
Mailing Address - State:FL
Mailing Address - Zip Code:33415
Mailing Address - Country:US
Mailing Address - Phone:561-502-0083
Mailing Address - Fax:561-439-1878
Practice Address - Street 1:2094 EAST CAROL CIRCLE
Practice Address - Street 2:
Practice Address - City:WESTPALM
Practice Address - State:FL
Practice Address - Zip Code:33415
Practice Address - Country:US
Practice Address - Phone:561-502-0083
Practice Address - Fax:561-439-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11850310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility