Basic Information
Provider Information
NPI: 1871110858
EntityType: 2
ReplacementNPI:  
OrganizationName: CONTINUUM CARE OF BROWARD LLC
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Mailing Information
Address1: 2302 QUENTIN RD
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112292414
CountryCode: US
TelephoneNumber: 6465852175
FaxNumber: 5103806631
Practice Location
Address1: 7771 W OAKLAND PARK BLVD STE 150
Address2:  
City: SUNRISE
State: FL
PostalCode: 333516705
CountryCode: US
TelephoneNumber: 9542396600
FaxNumber: 9542524665
Other Information
ProviderEnumerationDate: 06/25/2020
LastUpdateDate: 03/26/2021
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AuthorizedOfficialLastName: STERN
AuthorizedOfficialFirstName: SAMUEL
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AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 5104999977
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
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NPICertificationDate: 03/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251G00000X  Y AgenciesHospice Care, Community Based 

No ID Information.


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