Provider Demographics
NPI:1215495544
Name:VERTECH GROUP, LLC
Entity type:Organization
Organization Name:VERTECH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:CARLTON
Authorized Official - Last Name:MORRELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:860-770-8811
Mailing Address - Street 1:16267 NW 14TH CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1219
Mailing Address - Country:US
Mailing Address - Phone:860-770-8811
Mailing Address - Fax:
Practice Address - Street 1:8747 ANDORA DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2560
Practice Address - Country:US
Practice Address - Phone:404-660-4193
Practice Address - Fax:754-201-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility