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Organization
PALMS VILLA RETIREMENT HOME, INC.
Active
Organization
PALMS VILLA RETIREMENT HOME, INC.
Active
Other names
Palms Villa, Palms Villa Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KISSOONLAL (PRESIDENT)
(954) 484-1350
Entity
Organization
Contact information
Practice address
2131 NW 28TH ST, OAKLAND PARK, FL 33311-2136
(954) 484-1350
(954) 527-0505
Mailing address
2131 NW 28TH ST, OAKLAND PARK, FL 33311-2136
(954) 484-1350
(954) 527-0505
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL4990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140622100
—
FL
Enumeration date
10/10/2008
Last updated
08/26/2020
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