Provider Demographics
NPI:1437459377
Name:NORLAND GARDENS INC,
Entity Type:Organization
Organization Name:NORLAND GARDENS INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EUFRACIA
Authorized Official - Middle Name:
Authorized Official - Last Name:URENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-653-0918
Mailing Address - Street 1:19615 NW 12TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3080
Mailing Address - Country:US
Mailing Address - Phone:305-653-0918
Mailing Address - Fax:305-653-1720
Practice Address - Street 1:19615 NW 12TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-3080
Practice Address - Country:US
Practice Address - Phone:305-653-0918
Practice Address - Fax:305-653-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities