| Changeforbetterlife | |
|
7511 Nw 1st St Pembroke Pines FL 33024-7001 | |
| (954) 966-6680 | |
| (954) 966-6680 |
| Full Name | Changeforbetterlife |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 7511 Nw 1st St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Dolores Gant (PRESIDENT) |
| Authorized Official Contact | 9549666680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changeforbetterlife 7511 Nw 1st St Pembroke Pines FL 33024-7001 Ph: (954) 966-6680 | Changeforbetterlife 7511 Nw 1st St Pembroke Pines FL 33024-7001 Ph: (954) 966-6680 |
| NPI Number | 1245498799 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245498799 | NPI | - | NPPES |
| 675005296 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101543FH (Florida) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (Florida) | Primary |
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