Provider Demographics
NPI:1174969869
Name:OPEN ARMS ASSISTED LIVING, INCOPORATION
Entity type:Organization
Organization Name:OPEN ARMS ASSISTED LIVING, INCOPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-932-8407
Mailing Address - Street 1:4652 BELVEDERE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33415-1326
Mailing Address - Country:US
Mailing Address - Phone:561-478-9345
Mailing Address - Fax:561-640-7254
Practice Address - Street 1:4652 BELVEDERE RD
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:FL
Practice Address - Zip Code:33415-1326
Practice Address - Country:US
Practice Address - Phone:561-478-9345
Practice Address - Fax:561-640-7254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9967310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility