Provider Demographics
NPI:1912370446
Name:CITY OF MIRAMAR
Entity Type:Organization
Organization Name:CITY OF MIRAMAR
Other - Org Name:ADULT DAY CARE CENTER-SOUTHCENTRAL/SOUTHEAST FOCAL POINT
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-889-2742
Mailing Address - Street 1:2300 CIVIC CENTER PLACE
Mailing Address - Street 2:SOCIAL SERVICES DEPARTMENT/ADULT DAY CARE CENTER
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025
Mailing Address - Country:US
Mailing Address - Phone:954-889-2742
Mailing Address - Fax:954-602-3677
Practice Address - Street 1:3081 TAFT ST
Practice Address - Street 2:ADULT DAY CARE CENTER
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-4461
Practice Address - Country:US
Practice Address - Phone:954-505-4425
Practice Address - Fax:954-505-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care