Randall M Green

LBN: Greenlife Iop Program
Randall M Green is an health care organization with primary practice located at 282 Nw 162Nd Ave , Pembroke Pines FL 33028-1147. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Greenlife Iop Program can be contacted via phone (954) 746-8232, or through Zaffuto, Neisha via phone (954) 746-8232.

Contact Information

Primary practice address
282 Nw 162Nd Ave Pembroke Pines FL 33028-1147
Phone: (954) 746-8232
Fax: (954) 746-8981
Website:
Map and Directions
Authorized official contact:
Name: Zaffuto, Neisha
Phone: (954) 746-8232

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1706AD598901 Florida

Profile Details

NPI number 1851638084
LBN Legal business name Greenlife Iop Program
DBA Doing business as Randall M Green
Authorized official Zaffuto, Neisha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2013
Last updated Jan 8th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851638084 NPPES
Florida Other 1706AD598901 DCF STATE LICENSE

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