Provider Demographics
NPI:1679259139
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:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:B
Authorized Official - Last Name:DANIELS-BILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-985-4791
Mailing Address - Street 1:3800 INVERRARY BLVD STE 408E
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4359
Mailing Address - Country:US
Mailing Address - Phone:772-985-4791
Mailing Address - Fax:954-827-2424
Practice Address - Street 1:3800 INVERRARY BLVD STE 408E
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4359
Practice Address - Country:US
Practice Address - Phone:772-985-4791
Practice Address - Fax:954-827-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health