Provider Demographics
NPI:1689925802
Name:DR HAMMOND ENTERPRISES, INC
Entity Type:Organization
Organization Name:DR HAMMOND ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:954-981-8847
Mailing Address - Street 1:5301 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-4636
Mailing Address - Country:US
Mailing Address - Phone:954-981-8847
Mailing Address - Fax:954-981-9261
Practice Address - Street 1:357 SE 6TH ST
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-4722
Practice Address - Country:US
Practice Address - Phone:954-981-8847
Practice Address - Fax:954-981-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9929310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility