Provider Demographics
NPI:1669299780
Name:FAITH CARE CENTER FLORIDA, INC.
Entity type:Organization
Organization Name:FAITH CARE CENTER FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:BEVERLY
Authorized Official - Last Name:DANIELS-BILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-985-4791
Mailing Address - Street 1:11161 NW 23RD CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3648
Mailing Address - Country:US
Mailing Address - Phone:772-985-4791
Mailing Address - Fax:954-827-2424
Practice Address - Street 1:10055 YAMATO RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6102
Practice Address - Country:US
Practice Address - Phone:772-985-4791
Practice Address - Fax:954-865-1701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH CARE CENTER FLORIDA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health