Hollywood Beach Retirement Home

NPI 1033498746 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1033498746
Enumeration Date 08/11/2011
Last Updated 08/11/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RICKI RICKI
Position ADMINISTRATOR
Phone (954) 923-1726
Fax (954) 923-8535
Practice Location
1722 MADISON ST
HOLLYWOOD FL, 33020-5537, US
Phone (954) 923-1726
Fax (954) 923-8535
Business Location
1722 MADISON ST
HOLLYWOOD FL, 33020-5537, US
Phone (954) 923-1726
Fax (954) 923-8535
Toxanomy
Taxonomy Code 3104A0625X
License State Florida
License Number AL5026
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According to our database, Hollywood Beach Retirement Home NPI is 1033498746, taxonomy code is 3104A0625X and license number is AL5026, license state is located at Florida. Hollywood Beach Retirement Home physically located at 1722 Madison St, Hollywood FL, 33020-5537. NPI Number 1033115704 has the healthcare provider type.

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1033498746 NPI number is provided on an as is basis without warranty of any kind. 1033498746 is maintained by the National Plan & Provider Enumeration System. The contents of Hollywood Beach Retirement Home are for informational purposes only.