OrganizationActive
2065 Inc Dba Fort Lauderdale Retirement Home
NPI 1568880565 · Assisted Living Facility (Mental Illness) · Fort Lauderdale, FL
Provider details
- NPI number
- 1568880565
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Authorized official
- Jackie Heath, Administrator/Owner
- License
- ALF6634 (FL)
Practice location
401 Se 12th Ct
Fort Lauderdale, FL 33316-1919
Phone: (954) 270-6322
Fax: (954) 423-1674
Mailing address
401 Se 12th Ct
Fort Lauderdale, FL 33316-1919
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2014-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.