Provider Demographics
NPI:1699802207
Name:PRIORITY LIFE SERVICES, CORP
Entity type:Organization
Organization Name:PRIORITY LIFE SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:BIONDINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-7169
Mailing Address - Street 1:707 S 19TH AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5400
Mailing Address - Country:US
Mailing Address - Phone:954-921-8062
Mailing Address - Fax:954-929-2994
Practice Address - Street 1:707 S 19TH AVE APT 6
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5400
Practice Address - Country:US
Practice Address - Phone:954-921-8062
Practice Address - Fax:954-929-2994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL229831310500000X, 385HR2060X, 385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
Not Answered385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Not Answered385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL229831OtherHOME MAKER AND COMPANION