| Fountain Of Life Community Development Center | |
|
6741 Pembroke Rd Pembroke Pines FL 33023-2143 | |
| (954) 391-6080 | |
| (954) 391-6081 |
| Full Name | Fountain Of Life Community Development Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6741 Pembroke Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Sherron Parrish (CEO) |
| Authorized Official Contact | 9543916080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Of Life Community Development Center 6741 Pembroke Rd Pembroke Pines FL 33023-2143 Ph: (954) 391-6080 | Fountain Of Life Community Development Center 6741 Pembroke Rd Pembroke Pines FL 33023-2143 Ph: (954) 391-6080 |
| NPI Number | 1104194356 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104194356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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