PEACEFUL HAVEN RANCH GROUP HOME
Residential Treatment Facilities at Stirling Rd, Fort Lauderdale, FL

License number
Florida 10-1606GH
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
Florida 10-1607GH
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. ALBERTO E FERNANDEZ
Title: PRESIDENT
Phone: (954) 689-0151
Address
Address
12601 Stirling Rd, Fort Lauderdale, FL 33330
National Provider ID: 1982881702
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PEACEFUL HAVEN RANCH GROUP HOME at bizstanding.com

PEACEFUL HAVEN RANCH GROUP HOME, INC

12601 Stirling Rd, Fort Lauderdale, FL 33330

Status:
Inactive
Inactive reason:
Amendment
Registration:
Apr 20, 1994
Inactive since:
Aug 9, 1995
State ID:
N94000001959
Business type:
Florida Not For Profit Corporation
Directors:
Larry Levy, 12781 Miramar Parkway- SUITE #203, Hollywood, FL 33027 (Physical),Carl Buccellato (Director), 2830 Palmer Dr, Hollywood, FL 33021 (Physical),Nelson Fernandez (Secretary), 2415 Delmar Pl, Fort Lauderdale, FL 33301 (Physical),...
Agent:
Michael Gable,4000 Hollywood Blvd S735, Hollywood, FL 33021 (Physical)
EIN:
65-0527329

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