Provider Demographics
NPI:1891038428
Name:MCCURDY SENIOR HOUSING CORP
Entity Type:Organization
Organization Name:MCCURDY SENIOR HOUSING CORP
Other - Org Name:QUIET WATERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GLUCKSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-722-6083
Mailing Address - Street 1:306 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-3282
Mailing Address - Country:US
Mailing Address - Phone:561-722-6083
Mailing Address - Fax:561-996-7043
Practice Address - Street 1:306 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-3282
Practice Address - Country:US
Practice Address - Phone:561-722-6083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11777310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility