North Lake Retirement Home

NPI 1417153446 - Assisted Living Facility - 310400000X

NPI Details
NPI 1417153446
Enumeration Date 06/26/2007
Last Updated 10/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PASCAL PASCAL
Position ASST ADM
Phone (954) 922-2643
Fax
Practice Location
1222 N 16TH AVE
HOLLYWOOD FL, 33020-3741, US
Phone (954) 922-2643
Fax
Business Location
1222 N 16TH AVE
HOLLYWOOD FL, 33020-3741, US
Phone (954) 922-2643
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL7395
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According to our database, North Lake Retirement Home NPI is 1417153446, taxonomy code is 310400000X and license number is AL7395, license state is located at Florida. North Lake Retirement Home physically located at 1222 N 16th Ave, Hollywood FL, 33020-3741. NPI Number 1033115704 has the healthcare provider type.

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1417153446 NPI number is provided on an as is basis without warranty of any kind. 1417153446 is maintained by the National Plan & Provider Enumeration System. The contents of North Lake Retirement Home are for informational purposes only.