Provider Demographics
NPI:1568582617
Name:SHERBY DEVELOPMENT INC.
Entity Type:Organization
Organization Name:SHERBY DEVELOPMENT INC.
Other - Org Name:LINCOLN MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-922-1995
Mailing Address - Street 1:PO BOX 221650
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-1650
Mailing Address - Country:US
Mailing Address - Phone:954-922-1995
Mailing Address - Fax:954-923-1766
Practice Address - Street 1:2144 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-3917
Practice Address - Country:US
Practice Address - Phone:954-922-1995
Practice Address - Fax:954-923-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL56723104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness