# VERSAILLES AT CORAL SPRINGS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104022375
- **Authorized official:** MR. ROMANE BERNAGENE SR. (OWNER)
- **Authorized official phone:** (954) 227-3886

## Contact information

- **Practice address:** 9425 W. SAMPLE RD, CORAL SPRINGS, FL 33065
- **Practice address phone:** (954) 227-3886
- **Practice address fax:** (954) 227-3003
- **Mailing address:** 9425 W SAMPLE RD, CORAL SPRINGS, FL 33065-4102
- **Mailing address phone:** (954) 227-3886
- **Mailing address fax:** (954) 227-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 17661 | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 08/22/2020